Parenteral nutrition extravasation into the abdominal wall mimicking an abscess

IF 0.1 Q4 OBSTETRICS & GYNECOLOGY

Case Reports in Perinatal Medicine Pub Date : 2021-01-01 DOI:10.1515/crpm-2021-0021

Natascha Pramhofer, S. Sailer, M. M. Nöhammer, Bernhard Csillag, S. Kargl, G. Wiesinger-Eidenberger

引用次数: 0

Abstract

Abstract Objectives Peripherally inserted central catheters (PICC) are used in the neonatal intensive care unit (NICU) setting for medication and nutrition administration. PICCs are easy to place and may remain inserted up to several weeks. Serious complications are rare. Cases of infection, dysfunction, thrombosis, malposition into other vessels, catheter migration, vessel erosion, perforation into pleura, pericardium, abdomen and even into the epidural space with extravasation have been reported [1, 2]. Case presentation We present the case of a preterm infant with a right leg inserted PICC with the tip supposedly being placed in the external iliac vein with further catheter migration into the abdominal wall during the course of treatment. Conclusions Our patient developed extravasation of lipid infusion, which was initially misinterpreted as an abscess due to signs of local inflammation.

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肠外营养物质外渗到腹壁，类似脓肿

摘要目的外周插入中心导管(PICC)用于新生儿重症监护病房(NICU)的药物和营养管理。picc易于放置，并可保持插入数周。严重的并发症很少见。感染、功能障碍、血栓形成、错位进入其他血管、导管移位、血管糜烂、穿入胸膜、心包、腹部甚至穿入硬膜外腔并外渗的病例已有报道[1,2]。我们报告一例早产儿右腿插入PICC，其尖端可能被放置在髂外静脉，在治疗过程中导管进一步迁移到腹壁。结论:我们的病人出现了脂质输注外渗，由于局部炎症的迹象，最初被误认为是脓肿。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Case Reports in Perinatal Medicine OBSTETRICS & GYNECOLOGY-

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期刊介绍： Case Reports in Perinatal Medicine is a double-blind peer-reviewed journal. The objective of the new journal is very similar to that of JPM. In addition to evidence-based studies, practitioners in clinical practice esteem especially exemplary reports of cases that reveal specific manifestations of diseases, its progress or its treatment. We consider case reports and series to be brief reports describing an isolated clinical case or a small number of cases. They may describe new or uncommon diagnoses, unusual outcomes or prognosis, new or infrequently used therapies and side effects of therapy not usually discovered in clinical trials. They represent the basic concept of experiences for studies on representative groups for further evidence-based research. The potential roles of case reports and case series are: Recognition and description of new diseases Detection of drug side effects (adverse or beneficial) Study of mechanisms of disease Medical education and audit Recognition of rare manifestations of disease.