Komplikationen Nabelvenenkatheter

Premature

newborn after umbilical venous catheter placement now with increasing C reactive protein after receiving total parenteral nutrition through the catheterAXR AP shows the tip of the umbilical venous catheter to project over the left portal vein. Axial CT with contrast of the abdomen shows multiple low density lesions which appear to be joined together in the left lobe of the liver.The diagnosis was perforation of the umbilical venous catheter out of the left portal vein with subsequent infusion of total parenteral nutrition into the liver parenchyma forming an intrahepatic fluid collection which became infected.

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.