Case Report: Uncommon complications of central catheters in newborns: two cases of parenteral nutrition extravasation
Central venous catheters (CVCs) are essential in neonatal care units to ensure prolonged venous access. Despite experienced CVC placement, managing fragile and small newborn vessels involves the risk of traumatic and iatrogenic complications. The most common include phlebitis, thrombosis, sepsis, an...
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Frontiers Media S.A.
2025-06-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2025.1602098/full |
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| author | Carolina Coramusi Jessica F. Toro Ramón G. Pabón Mario Barreto Giovanni Di Nardo Pasquale Parisi Claudia C. M. Marín |
| author_facet | Carolina Coramusi Jessica F. Toro Ramón G. Pabón Mario Barreto Giovanni Di Nardo Pasquale Parisi Claudia C. M. Marín |
| author_sort | Carolina Coramusi |
| collection | DOAJ |
| description | Central venous catheters (CVCs) are essential in neonatal care units to ensure prolonged venous access. Despite experienced CVC placement, managing fragile and small newborn vessels involves the risk of traumatic and iatrogenic complications. The most common include phlebitis, thrombosis, sepsis, and catheter displacement. Rarely, catheter displacement may lead to fluid accumulation around serous membranes and adjacent organs, which, if not identified early, can even result in neonatal death. We report two cases: one of neonatal hydrothorax with subsequent lung cystic formation after a parenteral nutrition leakage caused by the displacement of an Epicutaneo-Caval Catheter in the basilic vein of the left arm; the second involves a peritoneal collection of parenteral nutrition from the umbilical venous catheter. |
| format | Article |
| id | doaj-art-62c5966c41fe484ea7dd616763a05f3d |
| institution | OA Journals |
| issn | 2296-2360 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj-art-62c5966c41fe484ea7dd616763a05f3d2025-08-20T02:03:19ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-06-011310.3389/fped.2025.16020981602098Case Report: Uncommon complications of central catheters in newborns: two cases of parenteral nutrition extravasationCarolina Coramusi0Jessica F. Toro1Ramón G. Pabón2Mario Barreto3Giovanni Di Nardo4Pasquale Parisi5Claudia C. M. Marín6Unit of Pediatrics, Sant'Andrea University Hospital, Faculty of Medicine and Psychology, “Sapienza” University, Rome, ItalyClinica Medilaser Abner Lozano, Pediatric Infection Diseases, Faculty of Medicine UniNavarra University Foundation, Neiva, ColombiaClinica Medilaser Abner Lozano, Neonatal Intensive Care Unit, Faculty of Medicine, UniNavarra University Foundation, Neiva, ColombiaUnit of Pediatrics, Sant'Andrea University Hospital, Faculty of Medicine and Psychology, “Sapienza” University, Rome, ItalyUnit of Pediatrics, Sant'Andrea University Hospital, Faculty of Medicine and Psychology, “Sapienza” University, Rome, ItalyUnit of Pediatrics, Sant'Andrea University Hospital, Faculty of Medicine and Psychology, “Sapienza” University, Rome, ItalyClinica Medilaser Abner Lozano, Neonatal Intensive Care Unit, Faculty of Medicine, UniNavarra University Foundation, Neiva, ColombiaCentral venous catheters (CVCs) are essential in neonatal care units to ensure prolonged venous access. Despite experienced CVC placement, managing fragile and small newborn vessels involves the risk of traumatic and iatrogenic complications. The most common include phlebitis, thrombosis, sepsis, and catheter displacement. Rarely, catheter displacement may lead to fluid accumulation around serous membranes and adjacent organs, which, if not identified early, can even result in neonatal death. We report two cases: one of neonatal hydrothorax with subsequent lung cystic formation after a parenteral nutrition leakage caused by the displacement of an Epicutaneo-Caval Catheter in the basilic vein of the left arm; the second involves a peritoneal collection of parenteral nutrition from the umbilical venous catheter.https://www.frontiersin.org/articles/10.3389/fped.2025.1602098/fullnewbornumbilical venous catheterEpicutaneo-Caval Cathetercomplicationscystic lesionshydrothorax |
| spellingShingle | Carolina Coramusi Jessica F. Toro Ramón G. Pabón Mario Barreto Giovanni Di Nardo Pasquale Parisi Claudia C. M. Marín Case Report: Uncommon complications of central catheters in newborns: two cases of parenteral nutrition extravasation Frontiers in Pediatrics newborn umbilical venous catheter Epicutaneo-Caval Catheter complications cystic lesions hydrothorax |
| title | Case Report: Uncommon complications of central catheters in newborns: two cases of parenteral nutrition extravasation |
| title_full | Case Report: Uncommon complications of central catheters in newborns: two cases of parenteral nutrition extravasation |
| title_fullStr | Case Report: Uncommon complications of central catheters in newborns: two cases of parenteral nutrition extravasation |
| title_full_unstemmed | Case Report: Uncommon complications of central catheters in newborns: two cases of parenteral nutrition extravasation |
| title_short | Case Report: Uncommon complications of central catheters in newborns: two cases of parenteral nutrition extravasation |
| title_sort | case report uncommon complications of central catheters in newborns two cases of parenteral nutrition extravasation |
| topic | newborn umbilical venous catheter Epicutaneo-Caval Catheter complications cystic lesions hydrothorax |
| url | https://www.frontiersin.org/articles/10.3389/fped.2025.1602098/full |
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