title: An umbilical venous catheter complication presented as acute abdomen: case report.
abstract: Umbilical venous catheterization has become a widely accepted intravenous route for premature babies. These catheters allow administration of parenteral nutrition and medication and facilitate blood sampling. Besides these benefits, they also have significant potential complications like portal vein thrombosis, infection, vascular or hepatic injury, arrhythmia and sepsis. One of the rare but important complication is extravasation of the fluids due to misplacement of the catheter. The typical symptoms of this condition are sudden deterioration, hepatic enlargement, hematocrit drop, hypotension and abdominal distension. We herein present a premature newborn with unusual acute abdomen findings suggesting a surgical pathology after the extravasation of total parenteral nutrition into the abdomen.
authors.affiliation: Department of Pediatric Surgery, Katip Celebi University Faculty of Medicine, Izmir, Turkey.
authors.forename: Mustafa O
authors.initials: MO
authors.lastname: Oztan
authors.affiliation: Department of Pediatrics, Division of Neonatology, Tepecik Research and Training Hospital, Izmir, Turkey.
authors.forename: Ozkan
authors.initials: O
authors.lastname: Ilhan
authors.affiliation: Department of Pediatric Surgery, Tepecik Research and Training Hospital, Izmir, Turkey.
authors.forename: Elif
authors.initials: E
authors.lastname: Abay
authors.affiliation: Department of Pediatric Surgery, Katip Celebi University Faculty of Medicine, Izmir, Turkey.
authors.forename: Gokhan
authors.initials: G
authors.lastname: Koyluoglu
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology*; D002404:Catheterization / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D010288:Parenteral Nutrition; D014471:Umbilical Veins
keywords: Catheterization; Extravasation of parenteral nutrition; Newborn; Umbilical veins