Necrosis of the left buttock as a complication of umbilical catheterisation in neonatal resuscitation

The catheter was erroneously inserted into the artery instead of the vein, probably owing to dilation of the arteries as a result of the severe asphyxia. 1 Instead of passing down the umbilical artery to the iliac artery into the aorta, the catheter entered the left internal iliac artery and occlude...

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Bibliographic Details
Published in:Archives of disease in childhood. Fetal and neonatal edition 2007-01, Vol.92 (1), p.F48-F48
Main Authors: Vernooij, C M, Hogeman, P H G, Nikkels, P G J, Blok, C A, Brouwers, H A A
Format: Article
Language:English
Subjects:
Buttocks - pathology
Catheterization - adverse effects
Catheterization - methods
Catheters
Female
Gangrene
Humans
Iliac Artery - pathology
Images in Neonatal Medicine
Infant, Newborn
Medical instruments
Necrosis
Resuscitation - methods
Umbilical Veins
Veins & arteries
Vulva - pathology
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Summary:The catheter was erroneously inserted into the artery instead of the vein, probably owing to dilation of the arteries as a result of the severe asphyxia. 1 Instead of passing down the umbilical artery to the iliac artery into the aorta, the catheter entered the left internal iliac artery and occluded the inferior gluteal and internal pudendal arteries. 2 Thrombus formation, direct damage to the vessel wall and arterial spasm were enhanced by infusion of hypertonic solutions. 3
ISSN:1359-2998
1468-2052
DOI:10.1136/adc.2006.096974