Recognising serious umbilical cord anomalies

Umbilical vessel catheterisation is a common intervention in neonatal care. Many complications are recognised, some of which are life-threatening. We report the case of a term neonate who was compromised at birth following antepartum haemorrhage with evidence of multiorgan ischaemic injury. Followin...

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Bibliographic Details
Published in:BMJ case reports 2013-11, Vol.2013, p.bcr2013201663
Main Authors: Marshall, Andrew S J, Jayapal, Sathiya S K, Whitburn, Jessica A S, Akinbiyi, Bolutito A, Willetts, Ian E
Format: Article
Language:English
Subjects:
Abdomen
Age
Anemia - complications
Anemia - diagnosis
Babies
Catheterization - adverse effects
Catheters
Diagnosis, Differential
Electrolytes
Europe (West)
Female
Heart rate
Humans
Hypotension - complications
Hypotension - diagnosis
Hypoxia - complications
Hypoxia - diagnosis
Infant, Newborn
Learning from Errors
Neonate
Pneumoperitoneum - diagnosis
Pneumoperitoneum - etiology
Pneumoperitoneum - therapy
Respiratory distress syndrome
Umbilical cord
Umbilicus - abnormalities
White
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Summary:Umbilical vessel catheterisation is a common intervention in neonatal care. Many complications are recognised, some of which are life-threatening. We report the case of a term neonate who was compromised at birth following antepartum haemorrhage with evidence of multiorgan ischaemic injury. Following resuscitation and umbilical vessel catheterisation, she developed pneumoperitoneum. At laparotomy, a patent vitellointestinal duct was identified and resected. Intestinal perforation was found in the duct wall, most plausibly explained by the unintentional catheterisation of the duct via the umbilicus. Learning to recognise umbilical cord anomalies, such as patent vitellointestinal duct, can be simple and could prevent potentially serious complications.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2013-201663