CASE REPORT article
Front. Pediatr.
Sec. Neonatology
Volume 13 - 2025 | doi: 10.3389/fped.2025.1602098
Uncommon Complications of Central Catheters in Newborns: Two Cases of Parenteral Nutrition Extravasation
Provisionally accepted
Carolina Coramusi1,2*
Jessica Fernanda Toro3Ramon Giovanni Pabòn3Mario Barreto1,2Giovanni Di Nardo1,2
Pasquale Parisi1,2Claudia C.M. Marìn3- 1Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Lazio, Italy
- 2Unit of Pediatrics, Sant'Andrea University Hospital, Rome, Lazio, Italy
- 3Navarra University Foundation, Neiva, Huila, Colombia
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Central venous catheters (CVCs) are essential in neonatal care units to ensure prolonged venous access. Despite experienced CVC placement, managing fragile and small newborn vessels involves the risk of traumatic and iatrogenic complications. The most common include phlebitis, thrombosis, sepsis, and catheter displacement. Rarely, catheter displacement may lead to fluid accumulation around serous membranes and adjacent organs, which, if not identified early, can even result in neonatal death.We report two cases: one of neonatal hydrothorax with subsequent lung cystic formation after a parenteral nutrition leakage caused by the displacement of an Epicutaneo-Caval Catheter in the basilic vein of the left arm; the second involves a peritoneal collection of parenteral nutrition from the umbilical venous catheter.
Keywords: Newborn, Umbilical venous catheter, epicutaneo-caval catheter, complications, cystic lesions, Hydrothorax, Pneumothorax, case report
Received: 28 Mar 2025; Accepted: 06 May 2025.
Copyright: © 2025 Coramusi, Toro, Pabòn, Barreto, Nardo, Parisi and Marìn. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Carolina Coramusi, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, 00185, Lazio, Italy
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