Index of Suspicion: Colonic Extravasation of Intravenous Contrast After Cardiac Catheterization

We present a 4 month old black male infant with prenatally diagnosed complex congenital heart disease with single ventricle physiology and normal amniocentesis. He was born prematurely at 35 3/7 weeks with a birth weight of 3.2kg to a 33 YO, G6P4 female via C-section for Breech presentation and non-reassuring fetal heart tracing. Pregnancy was also complicated by non-compliant insulin dependent diabetes mellitus. APGAR scores at birth were 1, 4 and 8 at 1, 5 and 10 minutes respectively, with the patient requiring resuscitation with intubation and mechanical ventilation. He was admitted in the cardiac ICU for further management.