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BMJ Case Rep. 2011 Apr 26;2011. pii: bcr0220113813. doi: 10.1136/bcr.02.2011.3813.

Parenteral nutrition--ascites with acute renal failure as a complication from an umbilical venous catheter in an extremely low birth weight infant.

Author information

1
Division of Neonatology, Neonatal Intensive Care Unit, Imperial College Healthcare NHS Trust, St. Mary's Hospital, London, UK.

Abstract

Umbilical venous catheters (UVCs) are frequently used in the neonatal intensive care setting and play a crucial role in the management of extremely low birth weight (ELBW) infants. One very rare complication reported is parenteral nutrition (PN) ascites secondary to vessel perforation or hepatic erosion by PN at the tip of malpositioned UVCs with various hepatic lesions. We describe a case of early onset PN ascites with no obvious associated hepatic lesion but complicated by pre-renal acute renal failure in an ELBW infant with the tip positioned between the 10th and 11th thoracic vertebrae.

PMID:
22696670
PMCID:
PMC3083019
DOI:
10.1136/bcr.02.2011.3813
[Indexed for MEDLINE]
Free PMC Article

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