Portal venous gas resulting from umbilical vein catheterization in a very‐low‐birth‐weight infant with no interruption in early feeding
ABSTRACT Introduction Portal venous gas (PVG) is common in necrotizing enterocolitis and occasionally occurs in neonates after umbilical vein catheterization (UVC). Therefore, determining the cause of PVG requires further clinical evaluation in these cases. Case presentation We report the case of a...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-06-01
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| Series: | Pediatric Investigation |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ped4.12236 |
| _version_ | 1819098301957406720 |
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| author | Jun Wang Guang Yue Hua Yang Jing Li Rong Ju |
| author_facet | Jun Wang Guang Yue Hua Yang Jing Li Rong Ju |
| author_sort | Jun Wang |
| collection | DOAJ |
| description | ABSTRACT Introduction Portal venous gas (PVG) is common in necrotizing enterocolitis and occasionally occurs in neonates after umbilical vein catheterization (UVC). Therefore, determining the cause of PVG requires further clinical evaluation in these cases. Case presentation We report the case of a very‐low‐birth‐weight infant who underwent UVC after birth. PVG was an unexpected finding on ultrasound following catheterization. The UVC was immediately removed and replaced with a peripherally inserted central catheter. The infant’s physical examination was unremarkable. Bedside X‐ray revealed neither PVG nor pneumatosis intestinalis, which would indicate the onset of necrotizing enterocolitis. After full evaluation, breastfeeding was started on the same day. The infant did not develop feeding intolerance, necrotizing enterocolitis, or other disorders. Conclusion PVG occasionally occurs in neonates who undergo UVC and is considered to be caused by exogenous gases. PVG is more easily detected with ultrasound than with X‐ray and does not affect early feeding in premature infants. |
| first_indexed | 2024-12-22T00:28:49Z |
| format | Article |
| id | doaj.art-a1b7e66876f74c4c8beaab50afb157a7 |
| institution | Directory Open Access Journal |
| issn | 2574-2272 |
| language | English |
| last_indexed | 2024-12-22T00:28:49Z |
| publishDate | 2021-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pediatric Investigation |
| spelling | doaj.art-a1b7e66876f74c4c8beaab50afb157a72022-12-21T18:44:59ZengWileyPediatric Investigation2574-22722021-06-015215515810.1002/ped4.12236Portal venous gas resulting from umbilical vein catheterization in a very‐low‐birth‐weight infant with no interruption in early feedingJun Wang0Guang Yue1Hua Yang2Jing Li3Rong Ju4Neonatal Department Chengdu Women’s and Children’s Central Hospital School of Medicine University of Electronic Science and Technology of China Chengdu Sichuan ChinaNeonatal Department Chengdu Women’s and Children’s Central Hospital School of Medicine University of Electronic Science and Technology of China Chengdu Sichuan ChinaNeonatal Department Chengdu Women’s and Children’s Central Hospital School of Medicine University of Electronic Science and Technology of China Chengdu Sichuan ChinaNeonatal Department Chengdu Women’s and Children’s Central Hospital School of Medicine University of Electronic Science and Technology of China Chengdu Sichuan ChinaNeonatal Department Chengdu Women’s and Children’s Central Hospital School of Medicine University of Electronic Science and Technology of China Chengdu Sichuan ChinaABSTRACT Introduction Portal venous gas (PVG) is common in necrotizing enterocolitis and occasionally occurs in neonates after umbilical vein catheterization (UVC). Therefore, determining the cause of PVG requires further clinical evaluation in these cases. Case presentation We report the case of a very‐low‐birth‐weight infant who underwent UVC after birth. PVG was an unexpected finding on ultrasound following catheterization. The UVC was immediately removed and replaced with a peripherally inserted central catheter. The infant’s physical examination was unremarkable. Bedside X‐ray revealed neither PVG nor pneumatosis intestinalis, which would indicate the onset of necrotizing enterocolitis. After full evaluation, breastfeeding was started on the same day. The infant did not develop feeding intolerance, necrotizing enterocolitis, or other disorders. Conclusion PVG occasionally occurs in neonates who undergo UVC and is considered to be caused by exogenous gases. PVG is more easily detected with ultrasound than with X‐ray and does not affect early feeding in premature infants.https://doi.org/10.1002/ped4.12236Portal venous gasVery low birth weightUmbilical vein catheterizationEarly feeding |
| spellingShingle | Jun Wang Guang Yue Hua Yang Jing Li Rong Ju Portal venous gas resulting from umbilical vein catheterization in a very‐low‐birth‐weight infant with no interruption in early feeding Pediatric Investigation Portal venous gas Very low birth weight Umbilical vein catheterization Early feeding |
| title | Portal venous gas resulting from umbilical vein catheterization in a very‐low‐birth‐weight infant with no interruption in early feeding |
| title_full | Portal venous gas resulting from umbilical vein catheterization in a very‐low‐birth‐weight infant with no interruption in early feeding |
| title_fullStr | Portal venous gas resulting from umbilical vein catheterization in a very‐low‐birth‐weight infant with no interruption in early feeding |
| title_full_unstemmed | Portal venous gas resulting from umbilical vein catheterization in a very‐low‐birth‐weight infant with no interruption in early feeding |
| title_short | Portal venous gas resulting from umbilical vein catheterization in a very‐low‐birth‐weight infant with no interruption in early feeding |
| title_sort | portal venous gas resulting from umbilical vein catheterization in a very low birth weight infant with no interruption in early feeding |
| topic | Portal venous gas Very low birth weight Umbilical vein catheterization Early feeding |
| url | https://doi.org/10.1002/ped4.12236 |
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