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Images in neonatal medicine
Hydrocoele and periorchitis after extravasation of parenteral nutrition solution
  1. M F Krüse-Ruijter1,
  2. S G F Robben2,
  3. P L J Degraeuwe1
  1. 1Department of Pediatrics, Division of Neonatology, Maastricht University Medical Centre, Maastricht, The Netherlands;
  2. 2Department of Radiology, Maastricht University Medical Centre, Maastricht, The Netherlands
  1. Correspondence to M F Krüse-Ruijter, Department of Pediatrics, Division of Neonatology, Maastricht University Medical Centre, University Hospital Maastricht, PO Box 5800, 6202 AZ Maastricht, The Netherlands; martineruijter{at}hotmail.com

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On the fifth day of life, a 26-week male infant developed progressive abdominal and scrotal distension. Whitish discoloration of the scrotal skin raised suspicion of extravasation of lipid-containing parenteral nutrition solution (total parenteral nutrition (TPN)). A contrast study through the umbilical venous catheter (UVC) confirmed vessel perforation with intraperitoneal spill (figure 1). High-resolution ultrasonography (17 MHz transducer) showed ascites …

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