Premature newborn with hepatomegaly and an elevated white blood cell count after umbilical venous catheter malposition. Initial AXR AP (above left) shows the umbilical venous catheter (UVC) tip to project over the liver and not to project at the junction of the inferior vena cava and right atrium. The UVC did not work well and was removed several days later. AXR 2 weeks later (above right) shows interval development of hepatomegaly. Transverse (below left) and sagittal (below right) US of the liver show a large septated and complex fluid collection within the liver.The diagnosis was an infected TPNoma due to umbilical venous catheter malposition. Premature
newborn with hepatomegaly and an elevated white blood cell count after umbilical venous catheter malposition. Initial AXR AP (above left) shows the umbilical venous catheter (UVC) tip to project over the liver and not to project at the junction of the inferior vena cava and right atrium. The UVC did not work well and was removed several days later. AXR 2 weeks later (above right) shows interval development of hepatomegaly. Transverse (below left) and sagittal (below right) US of the liver show a large septated and complex fluid collection within the liver.The diagnosis was an infected TPNoma due to umbilical venous catheter malposition.