Parenteral nutrition extravasation associated liver injury – A case series with varying clinical-radiological presentations
Vol. 9 No. 1 (2020), Articles
Vol. 9 No. 1 (2020)

Parenteral nutrition extravasation associated liver injury – A case series with varying clinical-radiological presentations

Articles
https://doi.org/10.7363/090102
Published 2019-11-25
Viraraghavan Vadakkencherry Ramaswamy
Neonatology Department, Nori Multi-Speciality Hospital, Vijayawada, Andhra Pradesh, India
Gajanan Venkat Rao
Neonatology Department, Nori Multi-Speciality Hospital, Vijayawada, Andhra Pradesh, India
Nori Suryanarayana
Neonatology Department, Nori Multi-Speciality Hospital, Vijayawada, Andhra Pradesh, India
Sanghamitra Gummadapu
Neonatology Department, Nori Multi-Speciality Hospital, Vijayawada, Andhra Pradesh, India
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Keywords

umbilical vein catheterisation
total parenteral nutrition
liver injury
extravasation

How to Cite

Ramaswamy, V. V., Rao, G. V., Suryanarayana, N., & Gummadapu, S. (2019). Parenteral nutrition extravasation associated liver injury – A case series with varying clinical-radiological presentations. Journal of Pediatric and Neonatal Individualized Medicine (JPNIM), 9(1), e090102. https://doi.org/10.7363/090102
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Abstract

Umbilical vein catheterisation is a very common procedure in Neonatal Intensive Care Units. The tip of the umbilical vein catheter (UVC) should be located at the junction of inferior vena cava and right atrium, which is confirmed by an abdominal radiography or ultrasonography. The tip of the UVC can migrate to a different position because of a myriad of reasons. If hypertonic solutions are infused through an UVC which is malpositioned in the liver, it can result in serious complications. This is a case series of three neonates with malpositioned UVC and the resultant clinical presentations along with the characteristic ultrasonographic findings.
https://doi.org/10.7363/090102
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