Pakistan Journal of Medical Sciences

Published by : PROFESSIONAL MEDICAL PUBLICATIONS

ISSN 1681-715X

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CASE REPORT

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Volume 26

April - June 2010

Number  2


 

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Neonatal gangrene of the extremity:
A complication of Umbilical Catheterization

Seyed Abdollah Mousavi1, Alireza Alam Sahebpour2, Soheila Shahmohammadi3

ABSTRACT

We report a case of severe tissue ischemia after umbilical catheterization in a preterm newborn. Umbilical catheters can accidentally enter branches of the iliac artery during attempted placement in the umbilical vein. If these misplacements are not recognized by radiology and promptly corrected, arterial obstruction may lead to ischemia and infarction of the extremities. This is the first report of below-knee gangrene due to peripheral vasospasm or thrombosis occurring after umbilical vein catheterization (UVC). We discuss that the radiographic verification is essential before infusing medications.

KEY WORDS: Catheterization, Gangrene, Neonate, Umbilical vein.

Pak J Med Sci    April - June 2010    Vol. 26 No. 2    488-489

How to cite this article:

Mousavi SA, Sahebpour AA, Shahmohammadi S. Neonatal gangrene of the extremity: A complication of Umbilical Catheterization. Pak J Med Sci 2010;26(2):488-489.


1. Seyed Abdollah Mousavi, M.D,
Associate Professor of Pediatric Surgery,
Department of Pediatric Surgery, Faculty of Medicine
2. Alireza Alam Sahebpour, M.D,
Associate Professor of Pediatric Surgery,
Department of Pediatric Surgery, Faculty of Medicine
3. Soheila Shahmohammadi,
CRNA, Research Fellow,
1-3: Mazandaran University of Medical Sciences,
Sari, Iran.

Correspondence:

Seyed Abdollah Mousavi, M.D,
Email: s_kavardi@yahoo.com.sg

* Received for Publication: February 7, 2010

* Revision Received: March 17, 2010

* Revision Accepted: March 18, 2010



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