Evisceration of small bowel from umbilical vein catheterization in a preterm African neonate: An uncommon complication

Abstract

The umbilical vein helps in delivery of oxygen to the fetus in utero. It can be catheterized in the neonate for delivery of fluids and medications. Exchange blood transfusion is one common reason for umbilical vein catheterization. The procedure comes with its own complications. We report an uncommon complication; evisceration of the small bowel which was seen in an African neonate following umbilical vein catheterization.

Bowel Evisceration Following Attempt at Umbilical Vein Catheterization in a Neonate: A Case Report

“…One study from Edo State Nigeria also reported intestinal evisceration through the umbilicus following an attempt at umbilical vein catheterization [3]. The author reported that the attempt at umbilical cannulation was difficult and an attempt was made to scrap and probe the umbilical region which may have caused the bowel evisceration [3]. Pathologies in the neonatal umbilical area may have also predisposed to bowel evisceration.…”

“…It provides a fast central venous access [2]. One of the most common indications for umbilical vein catheterization in neonates is for exchange blood transfusion in severely jaundiced babies [3]. However, umbilical catheterization is not without complications.…”

“…Auctores Publishing -Volume 4(8)-097 www.auctoresonline.org ISSN: 2690-1897 Page 3 of 3 attachment of the umbilical ring leading to evisceration [3]. Prematurity and low birth weight may also be other contributory factors [3].…”