Imaging appearance of post umbilical venous catheter displacement: liver collections in children

Ayşe Keven, Adnan Kabaalioğlu, Emel Durmaz, Kağan Çeken

Abstract


Umbilical venous catheters (UVCs) have become a part of routine perinatal care. In the case of its misplacement, extravasation into liver parenchyma might be observed and unusual findings might be detected and a suspicion of tumoral lesions emerges during the ultrasound examination. To avoid the unnecessary liver biopsies and catastrophic complications of UVC misplacement in the pediatric population, clinicians and radiologists must be familiar with the radiological findings. We aimed to present sonographic and computed tomographic images of liver collections resulting from UVC malposition


Keywords


liver mass; pseudotumor; umbilical venous catheter

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References


Hagerott H.E, Kulkarni S, Restrepo R, Reeves-Garcia J. Clinical-radiologic features and treatment of hepatic lesions caused by inadvertent infusion of parenteral nutrition in liver

parenchyma due to malposition of umbilical vein catheters. Pediatr Radiol 2014;44: 810-815.

Schlesinger A.E, Braverman R.M, DiPietro M.A. Neonates and Umbilical Venous Catheters: Normal Appearance, Anomalous Positions, Complications,

and Potential Aid to Diagnosis. AJR 2003; 180: 1147–1153

Spurway J, Logan P, Pak S. The development, structure and blood flow within the umbilical cord with particular reference to the venous system. AJUM 2012; 15: 97-102

Yeh J, Vargas J.H, Wozniak L.J, Smith J.B, Boechat M.I, Touma M. Massive Liver Mass and Parenteral Nutrition Extravasation Secondary to Umbilical Venous Catheter Complications. Journal of Clinical Neonatology 2014; 3: 158-160.

Greenberg M, Movahed H, Peterson B et al. Placement of umbilical venous catheters with use of bedside real-time ultrasonography. J. Pediatr 1995;126:633–635

Simanovsky N, Ofek-Shlomai N, Rozovsky K et al. Umbilical venous catheter position: evaluation by ultrasound. Eur Radiol 2011; 21:1882–1886

Mutlu M, Aslan Y, Kul S, Yılmaz G. Umbilical venous catheter complications in newborns: A 6-Year Single-Center Experience. The Journal of Maternal-Fetal & Neonatal Medicine 2019;29: 2817-2822

Derinkuyu B.E, Boyunaga O.L, Damar Ç, Unal S, Ergenekon E, Alimli A.G. et al. Hepatic Complications of Umbilical VenousCatheters in the Neonatal Period. J Ultrasound Med 2018; 37: 1335–1344

Sherwani P, Vire A, Anand R, Jajoo M. Umbilical venous catheterization gone wrong: Hepatic complications. Indian J Radiol Imaging 2016; 26: 40-3.

Bothur-Nowacka J, Czech-Kowalska J, Gruszfeld D et al. Complications of umbilical vein catherisation. Case Report. Pol J Radiol 2011; 76(3): 70-73.

Selvam S, Humphrey T, Woodley H, English S, Kraft J.K. Sonographic features of umbilical catheter-related complications. Pediatric Radiology 2018; 48:1964–1970.

Schlesinger A.E, Braverman R.M, DiPietro M.A. Neonates and Umbilical Venous Catheters: Normal Appearance, Anomalous Positions, Complications, and Potential Aid to Diagnosis. AJR 2003; 180:1147–1153.

Kim J. H, Lee Y.S, Kim S.H, Lee S.K, Lim M.K, Kim H.K. Does Umbilical Vein Catheterization Lead to Portal Venous Thrombosis? Prospective US Evaluationin 100 Neonates. Radiology 2001; 219: 645–650.

Lim-Dunham J.E, Vade A, Capitano H.N, Muraskas J. Characteristic Sonographic Findings of Hepatic Erosion by Umbilical Vein Catheters. J Ultrasound Med 2007; 26: 661–666.

Shamir S.B, Kurian J, Kogan-Liberman D, Benjamin H. Taragin B.H. Hepatic Imaging in Neonates and Young Infants: State of the Art. Radiology 2017; 285(3):763-777




DOI: http://dx.doi.org/10.11152/mu-2615

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