Singapore Med J 2008; 49(2):e35-6
          
      
      
      
          Intraperitoneal extravasation of total parental nutrition infusate from an umbilical venous catheter      
      
              
       
                    
      
      
       
       
 
      
    
          
    
      	Shareena I, Khu YS, Cheah FC
	Correspondence: Dr Shareena Ishak, shareena@mail.hukm.ukm.my
	
	ABSTRACT
	A preterm male infant who had an umbilical venous catheter (UVC) in situ for infusion of total parenteral nutrition (TPN) subsequently developed abdominal distension. He was initially diagnosed to have necrotising enterocolitis. However, a diagnostic abdominal paracentesis yielded fluid which biochemical analysis found to be consistent with TPN. TPN is often infused through a UVC, in the first few days of life, for the nutritional support of a premature infant. Various complications have been reported to be associated with this path of delivery, one of which will be illustrated in this case report.
	
	Keywords: ascites, paracentesis, total parenteral  nutrition, umbilical venous catheter
	Singapore Med J 2008; 49(2):e35-6