Neonatal Exchange Transfusion Complicated by Haemoperitoneum and Liver Haematoma Related to Umbilical Venous Catheterization
JTH Yeung, DCY Lui, SY Lee, JKF Ma, JCY Fong
Hong Kong J Radiol 2011;14:244-8
Umbilical venous catheterization is a commonly performed bedside procedure in the neonatal unit. Potential complications include vascular perforation, thrombosis, embolism, haemorrhage, infection, and tissue injuries. We report a case of liver haematoma and haemoperitonem after exchange transfusion, which are uncommon complications of umbilical venous catheterization. Radiological features and clinical presentations are discussed.
中文摘要
新生兒換血後與臍靜脈導管有關的腹腔積血及肝臟血腫
楊芷珩、雷彩如、李誠仁、馬嘉輝、方俊仁
臍靜脈導管經常被使用在新生兒臨床程序中，可能的併發症包括血管穿孔、血栓形成、栓塞、出 血、感染及組織受損。本文報告一個與臍靜脈導管有關的罕見併發病例，病人換血後出現腹腔積血 及肝臟血腫。本文並討論有關此併發的放射學特徵及臨床表現。