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CC BY-NC-ND 4.0 · AJP Rep 2017; 07(02): e65-e67
DOI: 10.1055/s-0037-1601566
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

A Rare Complication of Central Venous Catheter Extravasation in a Preterm Neonate: Hemidiaphragmatic Paralysis

C. Hobson
1   University François Rabelais, Faculty of Medecine, Tours, France
2   Neonatal and Pediatric Intensive Care Unit, Hôpital Clocheville, Tours, France
,
D. Dubillot
1   University François Rabelais, Faculty of Medecine, Tours, France
2   Neonatal and Pediatric Intensive Care Unit, Hôpital Clocheville, Tours, France
,
H. Lardy
1   University François Rabelais, Faculty of Medecine, Tours, France
3   Pediatric Surgery Department, Hôpital Clocheville, Tours, France
,
D. Sirinelli
1   University François Rabelais, Faculty of Medecine, Tours, France
4   Pediatric Radiology Department, Hôpital Clocheville, Tours, France
,
E. Saliba
1   University François Rabelais, Faculty of Medecine, Tours, France
2   Neonatal and Pediatric Intensive Care Unit, Hôpital Clocheville, Tours, France
,
E. Lopez
2   Neonatal and Pediatric Intensive Care Unit, Hôpital Clocheville, Tours, France
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Publikationsverlauf

14. Oktober 2016

22. Februar 2017

Publikationsdatum:
11. April 2017 (online)

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Abstract

We report a case of a preterm neonate born at 26 weeks' of gestation diagnosed with unilateral diaphragmatic paralysis. This paralysis was a consequence of a phrenic nerve injury due to extravasation of hyperosmolar parenteral nutrition fluid in the upper thorax. Chest X-rays and ultrasonography confirmed the diagnosis. The neonate was treated with prolonged respiratory support and did not require surgical treatment. This report describes a case of hemidiaphragmatic paralysis as a complication of central venous catheter insertion. In neonates, spontaneous recovery of diaphragmatic paralysis is possible. This study concludes that recovery of extravasation injury-induced phrenic nerve palsy in the context of conservative management is possible.

Keywords

diaphragmatic paralysis - neonate - central venous catheter - diaphragmatic plication
 

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