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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 …
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.