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Licensed Unlicensed Requires Authentication Published by De Gruyter July 27, 2021

Parenteral nutrition extravasation into the abdominal wall mimicking an abscess

Natascha Pramhofer ORCID logo, Sebastian Sailer ORCID logo, Maria Magdalena Nöhammer, Bernhard Csillag, Simon Kargl ORCID logo and Gabriele Wiesinger-Eidenberger

Abstract

Objectives

Peripherally inserted central catheters (PICC) are used in the neonatal intensive care unit (NICU) setting for medication and nutrition administration. PICCs are easy to place and may remain inserted up to several weeks. Serious complications are rare. Cases of infection, dysfunction, thrombosis, malposition into other vessels, catheter migration, vessel erosion, perforation into pleura, pericardium, abdomen and even into the epidural space with extravasation have been reported [1, 2].

Case presentation

We present the case of a preterm infant with a right leg inserted PICC with the tip supposedly being placed in the external iliac vein with further catheter migration into the abdominal wall during the course of treatment.

Conclusions

Our patient developed extravasation of lipid infusion, which was initially misinterpreted as an abscess due to signs of local inflammation.


Corresponding author: Natascha Pramhofer, Department of Neonatology, Kepler University Hospital, Medical Faculty, JKU, Krankenhausstr. 26-30, 4020, Linz, Austria, E-mail:

  1. Research funding: None declared.

  2. Author contributions: Dr. Pramhofer und Dr. Sailer conceptualized the case report, collected the patient’s family’s consent, drafted the initial manuscript, and reviewed and revised the manuscript. Dr. Nöhammer and Dr. Csillag conceptualized the case report, reviewed and revised the manuscript. Dr. Kargl and Dr Wiesinger-Eidenberger conceptualized the case report and critically reviewed the manuscript for important intellectual content. All authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work. All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: Not applicable.

References

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Received: 2021-03-10
Accepted: 2021-07-01
Published Online: 2021-07-27

© 2021 Walter de Gruyter GmbH, Berlin/Boston

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