Lipid Infusion Through Malpositioned Central Venous Catheter: Head Ultrasound Features

Authors

  • Morgan Roth Goldberg
  • Dorothy Gilbertson-Dahdal

DOI:

https://doi.org/10.3941/jrcr.v3i11.320

Keywords:

Catheters, Ultrasound, Malposition

Abstract

Properly placed central venous catheters have been effective in establishing prolonged access for total parenteral nutrition infusion in ill neonates.  However, malposition of the catheter may lead to lethal complications.  Malposition and infusion into the epidural venous plexus is most commonly diagnosed on the basis of radiographs and has been confirmed by lumbar puncture.  Several studies describe catheter malposition and associated complications.  None, however, demonstrate head ultrasound features.   We present sonographic findings in a patient who received hyperalimentation for 15 days through a malpositioned lower extremity peripherally inserted central venous catheter.

Author Biographies

Morgan Roth Goldberg

Department of Radiology

Radiology Resident

7381 E Santidad Pl

Tucson, Arizona 85750

 

 

Dorothy Gilbertson-Dahdal

Department of Radiology

Assistant Professor of Pediatric Radiology

Assistant Residency Program Director

University of Arizona

1501 N. Campbell Avenue, Room 1550

P.O. Box 245067

Tucson, Arizona 85724-5067

 

Published

2009-10-06

Issue

Section

Pediatric Radiology