Fehllage Nabelvenenkatheter

Premature

newborn after placement of two umbilical venous cathetersCXR AP shows one umbilical venous catheter coursing into the right atrium, through a patent foramen ovale, into the left atrium and then into a left pulmonary vein. Another umbilical venous catheter has its tip projecting intrahepatically within the main portal vein. The umbilical arterial catheter tip is at T8.The diagnosis was high and low malposition of an umbilical venous catheter and appropriate position of an umbilical arterial catheter.

Premature

newborn after umbilical venous catheter placement. CXR AP shows the tip of the umbilical venous catheter to be in the superior vena cava. The tip of the umbilical arterial catheter projects at the level of the T6 vertebral body.The diagnosis was umbilical venous catheter malfunction with the tip of the catheter in the superior vena cava.

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.

Umbilical

venous catheters • Umbilical vein catheter in the right portal vein - Ganzer Fall bei Radiopaedia

Umbilical

venous catheters • Umbilical vein catheter in left portal vein - Ganzer Fall bei Radiopaedia

Umbilical

venous catheters • Malpositioned umbilical venous catheter - Ganzer Fall bei Radiopaedia

Umbilical

venous catheters • Malpositioned umbilcal venous catheter - Ganzer Fall bei Radiopaedia

Umbilical

arterial catheters • Malpositioned umbilical catheters - Ganzer Fall bei Radiopaedia

Hepatic

abscess • Umbilical venous catheter-related hepatic fluid collection (TPNoma) and abscess formation - Ganzer Fall bei Radiopaedia

Portal venous

gas • Malpositioned umbilical venous catheter and portal venous gas - Ganzer Fall bei Radiopaedia

Umbilical

venous catheters • UVC in portal vein - Ganzer Fall bei Radiopaedia

Umbilical

venous catheters • Malpositioned UVC and acute hepatic fluid collection (TPNoma) - Ganzer Fall bei Radiopaedia