Author/Authors :
Karimi، Babak نويسنده , , Khademi، Gholamreza نويسنده Assistant Professor, Department of Pediatrics, Mashhad University of Medical Sciences, Mashhad, Iran. , , Javdani، Hassan نويسنده Neonatal Research Center, Imam Reza Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran , , Khodaparast، Robab نويسنده Neonatal Research Center, Imam Reza Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran ,
Abstract :
The use of an umbilical catheterization is a usual practice in neonatal units. The insertion of the catheter has potential complications. Here, we report on our observation of a seven-day-old female newborn admitted for an abdominal distention and vomiting bile. Initially, diagnosis was midgut volvulus, for which an operation was performed. During the surgery, no intestinal malrotation, mesenteric defect or atresia was observed. Postoperative diagnosis was abdominal wall hematoma and rand ligament and ileus, as well as, sub-capsular liver hematoma. The patient had been hospitalized at birth at a neonatal intensive care unit (NICU). With the appearance of icterus on the first day of life, at the NICU tried to insert the umbilical catheter that had been filed. The complication found in the patient was the result of an aggressive act (the umbilical catheter insertion). This intervention should not be carried out unless there are clear indications, and if so, it should be done with much care.
