Premature newborn after umbilical venous catheter placement now with increasing C reactive protein after receiving total parenteral nutrition through the catheter

AXR and CT of extravasation of TPN into the liver due to umbilical venous catheter perforation out of the vein — AXR AP shows the tip of the umbilical venous catheter to project over the left portal vein. Axial CT with contrast of the abdomen shows multiple low density lesions which appear to be joined together in the left lobe of the liver.

The diagnosis was perforation of the umbilical venous catheter out of the left portal vein with subsequent infusion of total parenteral nutrition into the liver parenchyma forming an intrahepatic fluid collection which became infected.