UVC tip in right portal vein

Case contributed by Dr Jeremy Jones

Presentation

Preterm 30w. SVD. Maternal sepsis. Max FiO2 100% at resus now in CPAP in 27% O2

Patient Data

Age: 0 days
Gender: Male
X-ray

ET tube tip at T4.
NG tube tip over stomach.
UVC tip curled into the right portal vein.

Granular change in the chest consistent with RDS. Non-specific bowel gas pattern.

Case Discussion

This is another example of where the umbilical venous catheters can end up. This one has taken a turn before the ductus venosus and entered the right portal vein. The line will need to be removed.

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