“A preterm baby, who had a percutaneous central line inserted developed an erythematous swelling over the infraclavicular area.” Govind et al (2014).
Govind, B., Tete, P.I. and Thomas, N. (2014) Percutaneous central line extravasation masquerading as an abscess. Indian Pediatrics. 51(4), p.309-10.
Percutaneous central line extravasation masquerading as an abscess http://ctt.ec/iykj1+ @ivteam #ivteam
BACKGROUND: Percutaneous central line insertion is a common procedure in the neonatal intensive care unit.
CASE CHARACTERISTICS: A preterm baby, who had a percutaneous central line inserted developed an erythematous swelling over the infraclavicular area.
OBSERVATION: A diagnosis of abscess was made, and an incision and drainage done that revealed a white fluid with high triglyceride content, confirming lipid extravasation.
OUTCOME: The lesion healed completely few days after removal of the catheter.
MESSAGE: This case highlights the importance of proper placement and confirmation of central line position.
Other intravenous and vascular access resources that may be of interest (External links – IVTEAM has no responsibility for content).
- Guide for intravenous chemotherapy and associated vascular access devices from Macmillan.
- CancerUK IV chemotherapy information.