Complications of parenteral nutrition via an umbilical vein catheter

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

“…To the best of our knowledge, 4 reports of hepatic parenchymal laceration because of damage by the UVC have been presented in the English literature by now [7][8][9][10][11]. Common findings in these patients were significant abdominal distension and rapid deterioration of vital signs.…”

“…Hepatic injures are more severe than the other complications with a high risk for morbidity and mortality (Table 1) [7][8][9][10][11][12][13][14]. Lim-Dunham [9] and associates studied the characteristic sonographic findings of hepatic erosion by UVCs.…”

“…Complications related to the liver have a high rate of morbidity and mortality, particularly in small premature newborns [7][8][9][10][11][12][13][14]. To the best of our knowledge, less than 4 articles describing hepatic laceration because of direct injury of the UVC have been reported by now [7][8][9][10][11]. Here, we present a newborn patient with hepatic laceration and intraabdominal hemorrhage secondary to the displacement of a UVC through the liver parencyhma.…”

“…Although a wide experience has been gained since its use was first described in 1947 [3], several mild to serious complications related to the UVC have been reported in the English literature [1,[4][5][6]. Complications related to the liver have a high rate of morbidity and mortality, particularly in small premature newborns [7][8][9][10][11][12][13][14]. To the best of our knowledge, less than 4 articles describing hepatic laceration because of direct injury of the UVC have been reported by now [7][8][9][10][11].…”

Letters to the Editor

“…5 and superior vena cava (SVC) obstruction and ascites. [6][7][8] We report a case of ascites from parenteral nutrition fluid in a preterm baby with an UVC. A female infant was born by emergency Caesarean section at 28 weeks' gestation weighing 1488 g. She had severe fetal bradycardia during an intrauterine blood transfusion for isoimmunisation due to anti-Kell and anti-E antibodies when the needle was dislodged from the cord by fetal movement.…”