Hepatic laceration because of malpositioning of the umbilical vein catheter: case report and literature review

YİĞİTER M., Arda I. S., Hicsoenmez A.

JOURNAL OF PEDIATRIC SURGERY, cilt.43, sa.5, 2008 (SCI-Expanded) identifier identifier identifier identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 43 Sayı: 5
  • Basım Tarihi: 2008
  • Doi Numarası: 10.1016/j.jpedsurg.2008.01.018
  • Dergi Adı: JOURNAL OF PEDIATRIC SURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Anahtar Kelimeler: umbilical vein, umbilical vein catheter, hepatic laceration, newborn, PARENTERAL-NUTRITION, COMPLICATIONS, PLACEMENT, EROSION
  • Atatürk Üniversitesi Adresli: Hayır

Özet

Umbilical vein catheterization that is a common bedside procedure in the neonatal intensive care units is not without complication. The most common complications are thrombus formation, embolism, vessel perforation, hemorrhage, and infection. Complications related to the liver carry a high risk for mortality. Laceration is an ominous complication of umbilical vein catheter that is generally a result of direct injury through the liver parenchyma. Abdominal distension that develops gradually should alert the physician for a likely development of intrahepatic bleeding. Surgery is mandatory in patients with ongoing bleeding after the withdrawal of the catheter. Early diagnosis and treatment are lifesaving in these patients. (C) 2008 Published by Elsevier Inc.