Abstract
Pleural and pericardial effusions are extremely rare complications of umbilical venous catheterization in newborns. A preterm male infant weighing 850g, with insertion of an umbilical venous catheter (UVC) developed massive right pleural and pericardial effusions. The position of catheter tip was verified by chest radiography and echocardiography. The effusions were drained by thoracentesis and pericardiocentesis without complication, and were biochemically similar as total parenteral infusion which infused through catheter.
Highlights
A preterm male infant (865g, 29 weeks of gestation), delivered by cesarean section, presented with nonreassuring fetal status
The umbilical venous catheter (UVC) (4F, VYGON, France) was placed without complication, the location of catheter tip was verified by chest radiograph, and the total parenteral nutrition was started on the day of admission
Needle thoracentesis was performed and it was noticed that the drained pleural fluid was similar to the TPN infusion in appearance which was supported by biochemical analyses
Summary
A preterm male infant (865g, 29 weeks of gestation), delivered by cesarean section, presented with nonreassuring fetal status. He presented clinical and radiological features of respiratory distress syndrome, and was placed on nasal intermittent positive pressure ventilation. The UVC (4F, VYGON, France) was placed without complication, the location of catheter tip was verified by chest radiograph, and the total parenteral nutrition was started on the day of admission.
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