A Case of Liver Abscess Associated with Umbilical Venous Catheterization in Preterm Infant.
10.5385/jksn.2012.19.4.280
- Author:
Young Jae LEE
1
;
Young Hee HEO
;
Won Ho HAHN
;
Ji Young CHANG
;
Chong Woo BAE
Author Information
1. Department of Pediatrics, Kyung Hee University School of Medicine, Seoul, Korea. baecw@khnmc.or.kr
- Publication Type:Case Report
- Keywords:
Newborn infant;
Liver abscess;
Umbilical catheterization;
Complication
- MeSH:
Birth Weight;
Catheterization;
Catheters;
Ductus Arteriosus, Patent;
Gestational Age;
Humans;
Infant, Newborn;
Infant, Premature;
Intensive Care, Neonatal;
Liver;
Liver Abscess;
Mass Screening;
Sepsis
- From:Journal of the Korean Society of Neonatology
2012;19(4):280-284
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Umbilical venous catheter (UVC) insertion is a life-saving procedure in neonates who require neonatal intensive care unit (NICU). It is a relatively easy procedure and it is routinely performed on the NICU. This life-saving yet relatively easy procedure, however, can yield some undesirable complications if it is not administered correctly. One of them is a liver abscess. This is a case report of a preterm infant who developed a liver abscess after UVC insertion. We inserted UAC and UVC to a preterm of 35 weeks of gestational age and birth weight of 2,720 g for treatment of respiratory distress syndrome, patent ductus arteriosus, and sepsis. A liver abscess associated with UVC was suspected on screening abdominal sonogram performed for evaluation of infection at 8 days of life. UAC was removed at 5 days of life, however, UVC was still being used. The patient recovered after 4 weeks of antibiotic treatment with prompt elimination of UVC. This case along with a brief review of literature illustrates an importance of proper maintenance and casuistic use of UVC for preterm infants.
