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TPNoma: an unusual complication of umbilical venous catheter malposition
  1. Megan Hartley,
  2. Geethanath Ruppa Mohanram,
  3. Imran Ahmed
  1. Department of Neonatology, Sunderland Royal Hospital, Sunderland, UK
  1. Correspondence to Dr Geethanath Ruppa Mohanram, Department of Neonatology, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK; ruppa.geethanath{at}

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Umbilical venous catheterisation (UVC) is a common procedure in preterm babies for delivering total parenteral nutrition (TPN) and medications. Its complications include infection, vascular injury, hepatic necrosis, thrombosis and portal hypertension.1 A 29-week preterm male infant had an UVC in place to give parenteral nutrition. The UVC was in suboptimal position (T10–11) and tip superimposed over the liver (figure 1). In view of difficult venous access, we accepted the …

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