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Pediatric Radiology

, Volume 28, Issue 12, pp 923–927 | Cite as

Neonatal total parenteral nutrition ascites from liver erosion by umbilical vein catheters

  • B. D. Coley
  • John Seguin
  • Leandro Cordero
  • Mark J. Hogan
  • E. Rosenberg
  • Kris Reber
REVIEW ARTICLE

Abstract

Background. A preterm infant was found to have total parenteral nutrition (TPN) ascites after infusion through a low umbilical vein catheter (UVC). Objective. To evaluate the clinical and imaging findings of neonates with TPN ascites after infusion through UVCs. Materials and methods. Eight patients with TPN ascites were identified over three years. Charts were abstracted for clinical data. Plain-film, ultrasound (US), and contrast studies through the UVCs were examined to determine UVC placement, presence of liver injury, and confirmation of intraperitoneal extravasation from the UVC. Results. All eight patients with TPN ascites presented with hypotension and abdominal distension. All had UVCs overlying the liver on plain film. Catheters were in place a mean of 8.9 days prior to TPN extravasation. US in four patients showed hepatic parenchymal damage around the UVC tip. Contrast studies in six patients showed intraperitoneal spill. Conclusion. While low UVC placement may sometimes be clinically unavoidable, TPN administered through abnormally positioned UVCs is not without risk.

Keywords

Catheter Clinical Data Liver Injury Preterm Infant Imaging Finding 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1998

Authors and Affiliations

  • B. D. Coley
    • 1
  • John Seguin
    • 2
  • Leandro Cordero
    • 2
  • Mark J. Hogan
    • 1
  • E. Rosenberg
    • 2
  • Kris Reber
    • 2
  1. 1.Department of Radiology, Children's Radiological Institute and Columbus Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USAUS
  2. 2.Department of Neonatology, Columbus Children's Hospital and The Ohio State University Hospital Columbus, Ohio, USAUS

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