We investigated a case of a peripherally inserted central venous catheter associated with iliolumbar venous extravasation in an infant. Hyperosmolar infusion and calcium gluconate caused phlebitis and vascular perforation. Daily monitoring of the catheter length at the insertion site and serial radiography may aid in detecting catheter movement.Reference:
Kurimoto T, Yonishi R, Uehara H, Fukuzato H, Seki S, Shimoji Y, Nakayama O, Ohba C, Nakazato I, Ohshiro T. Vascular injury due to a peripherally inserted central catheter in a neonate born during the 24th week of gestation. Clin Case Rep. 2022 Jun 19;10(6):e5991. doi: 10.1002/ccr3.5991. PMID: 35765292; PMCID: PMC9207233.