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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2016; 26(01): 40-43
DOI: 10.4103/0971-3026.178287
Abdomen

Umbilical venous catheterization gone wrong: Hepatic complications

Poonam Sherwani
Department of Radiodiagnosis, Chacha Nehru Bal Chikitsalaya Hospital, New Delhi, India
,
Adweta Vire
Department of Radiodiagnosis, Chacha Nehru Bal Chikitsalaya Hospital, New Delhi, India
,
Rama Anand
Department of Radiodiagnosis, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India
,
Mamta Jajoo
Department of Paediatrics, Chacha Nehru Bal Chikitsalaya Hospital, New Delhi, India
› Author Affiliations Financial support and sponsorship Nil.
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Abstract

Hepatic complications of malposition of umbilical venous catheter (UVC) are uncommon and occur due to extravasation of hypertonic fluids and the blood products in the liver tissue. Various hepatic complications include thrombosis of hepatic vessels, hepatic necrosis, hepatic fluid collections, and hematoma, with the intraparenchymal liver lesions seen along the course of ductus venosus. Radiologists must be aware of these complications and their imaging findings, as the timely recognition and immediate management can prevent the fatal outcome. Here, we present a rare case of intraparenchymal liver lesions associated with malposition of UVC in a preterm baby.

Keywords

Extravasation - hepatic necrosis - total parenteral nutrition - umbilical venous catheterization


Publication History

Article published online:
30 July 2021

© 2016. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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