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Images in neonatal medicine
Vicarious excretion of contrast material in a neonate
  1. Lydia Kathryn Harrington1,
  2. Carles Bautista-Rodriguez2,
  3. Anna Gomez3,
  4. Andrew Lunn4,
  5. Kathy Beardsall1
  1. 1 Neonatal Intensive Care Unit, Rosie Hospital, Cambridge, UK
  2. 2 Paediatric Cardiology, Royal Brompton and Harefield NHS Foundation Trust, London, UK
  3. 3 Paediatric Radiology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, Cambridgeshire, UK
  4. 4 Paediatric Nephrology, Nottingham University Hospitals NHS Trust, Nottingham, UK
  1. Correspondence to Dr Lydia Kathryn Harrington, Neonatal Intensive Care Unit, Rosie Hospital, Cambridge CB2 0SW, UK; lydia.harrington{at}nhs.net

https://doi.org/10.1136/archdischild-2020-321302

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    A 24+5 weeks’ gestation neonate was conservatively managed for necrotising enterocolitis associated with acute kidney injury. His creatinine peaked at 115 µmol/L (day 19), improving to 64 µmol/L (day 31). At 30+0 weeks’ corrected gestation (day 37), weighing 1.02 kg, he remained ventilated and underwent a transcatheter closure of his patent ductus arteriosus (PDA) in a cardiac unit.

    His PDA’s unusual anatomy …

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    Footnotes

    • Contributors All authors were involved in the patient’s care. LKH wrote the first draft of the manuscript with review from KB.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.