Bilateral Tension Hydrothorax and Pericardial Effusion in Correctly Placed Umbilical Venous Catheter: A Bolt From the Blue

Javed Ahmed, Nandkishor Shrikishanji Kabra, Haribalakrishna Balasubramaian

Abstract

Umbilical venous catheterization is used extensively in the neonatal intensive care unit. A majority of serious complications such as perforation of myocardium and pericardial effusions are described to be due to incorrect positioning of the umbilical venous catheter (UVC). This case report is presented to sensitize clinicians about considering the possibility of bilateral tension hydrothorax and pericardial effusions in any neonate with UVC in situ. These complications can happen even if UVC is in the correct position.

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