Abstract:
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.
Reference:
Govind, B., Tete, P.I. and Thomas, N. (2014) Percutaneous central line extravasation masquerading as an abscess. Indian Pediatrics. 51(4), p.309-10.