TY - JOUR
T1 - Liver fluid collection in neonates and its association with the use of a specific umbilical vein catheter
T2 - Report of five cases
AU - Mahajan, Vikas
AU - Rahman, Asad
AU - Tarawneh, Amjad
AU - Sant'Anna, Guilherme Mendes
PY - 2011/1
Y1 - 2011/1
N2 - In newborns, the presence of liver fluid collection is a rare event. The reported cases are isolated or described over long periods. Within four months, five neonates were diagnosed with liver fluid collection from safety occurrence reports. Clinical, laboratory and radiological data were extracted from medical records. The definite diagnosis was made by ultrasound. Four of the patients were preterm, male and had very low birth weights. The osmolality of the infused solution was within the acceptable range. Investigations revealed that the use of a new brand of umbilical vein catheter introduced in the neonatal intensive care unit, one month before the first case, was associated with this cluster. Low positioning of the umbilical vein catheter tip appeared to be a second contributory factor. Neonatal practitioners may benefit from the present report when facing the occurrence of similar lesions.
AB - In newborns, the presence of liver fluid collection is a rare event. The reported cases are isolated or described over long periods. Within four months, five neonates were diagnosed with liver fluid collection from safety occurrence reports. Clinical, laboratory and radiological data were extracted from medical records. The definite diagnosis was made by ultrasound. Four of the patients were preterm, male and had very low birth weights. The osmolality of the infused solution was within the acceptable range. Investigations revealed that the use of a new brand of umbilical vein catheter introduced in the neonatal intensive care unit, one month before the first case, was associated with this cluster. Low positioning of the umbilical vein catheter tip appeared to be a second contributory factor. Neonatal practitioners may benefit from the present report when facing the occurrence of similar lesions.
KW - Liver abscess
KW - Liver infiltration
KW - Osmolality
KW - Umbilical vein catheter
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U2 - 10.1093/pch/16.1.13
DO - 10.1093/pch/16.1.13
M3 - Article
AN - SCOPUS:80053987548
SN - 1205-7088
VL - 16
SP - 13
EP - 15
JO - Paediatrics and Child Health
JF - Paediatrics and Child Health
IS - 1
ER -