Umbilical and portal vein calcification following umbilical vein catheterization

Abstract

Calcifications of the umbilical vein and intrahepatic branches of the portal vein developed in a newborn who had an umbilical vein catheter inserted for 11 days postnatally. The calcified intrahepatic portal veins can still be demonstrated sonographically at the age of three years, but these calcifications were no longer detectable radiologically.

Nephrocalcinosis, cholelithiasis, and umbilical vein calcification in a premature infant

“…Umbilical and portal vein calcification associated with umbilical vein catheterization has also been reported in the newborn [3,4]. We report the coexistence of nephrocalcinosis, cholelithiasis, and umbilical vein calcification in a premature infant following umbifical vein catheterization.…”

“…Calcification of the umbilical and portal veins has been described but not in association with both nephrocalcinosis and cholelithiasis [3]. Prolonged catheterization of the umbilical vein will prevent its postnatal contraction with subsequent thrombus formation and calcification.…”

Hepatic calcification following umbilical vein catheterization in a premature baby

“…Their prompt removal is recommended, as complications are possible and not that rare [2,3]. We believe that the UVC that we encountered was secondary to infusion of calcium gluconate likely determining intimal injury.…”

Anatomic considerations in placement of central venous catheters

“…T h e risk of portal thrombosis is one of the important reasons for urging removal of UV catheters at the earliest opportunity. Calcifications may be seen along the course of the UV and even within the liver in some cases of prolonged catheter placement (Schneider et al, 1989).…”