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Neonatal Med > Volume 19(4); 2012 > Article
Journal of the Korean Society of Neonatology 2012;19(4):280-284.
DOI: https://doi.org/10.5385/jksn.2012.19.4.280    Published online December 25, 2012.
A Case of Liver Abscess Associated with Umbilical Venous Catheterization in Preterm Infant.
Young Jae Lee, Young Hee Heo, Won Ho Hahn, Ji Young Chang, Chong Woo Bae
1Department of Pediatrics, Kyung Hee University School of Medicine, Seoul, Korea. baecw@khnmc.or.kr
2Department of Pediatrics, Cheonan Soonchunhyang University Hospital, Cheonan, Korea.
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.
Key Words: Newborn infant, Liver abscess, Umbilical catheterization, Complication


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