title: Term Neonate With Liver Laceration, Obstructive Uropathy, and Ascites-Secondary to Extravasation of Total Parenteral Nutrition: A Complication of Malpositioned Umbilical Venous Catheter.
abstract: We report a rare, but serious, complication of a malpositioned umbilical venous catheter in a term male infant who developed laceration, hematoma, and necrosis of liver, ascites, and left-sided obstructive uropathy secondary to extravasation of total parenteral nutrition. Abdominal paracentesis confirmed the presence of parenteral nutrition in the peritoneal cavity. Although, the umbilical venous catheterization is a common intravenous access used in neonatal intensive care units, judicious continued monitoring of its use should be practiced to avoid serious complications.
authors.affiliation: Texas Tech University Health Sciences Center, Amarillo, TX, USA.
authors.forename: Olubukunola
authors.initials: O
authors.lastname: Adesanya
authors.affiliation: Texas Tech University Health Sciences Center, Amarillo, TX, USA.
authors.forename: Mubariz
authors.initials: M
authors.lastname: Naqvi
keywords: ascites; hepatic laceration; hepatic mass; neonates; obstructive uropathy; total parenteral nutrition; umbilical vein catheter