Day: September 13, 2020

Premature newborn after PICC placement

AXR of peripherally inserted central catheter / PICC in the spinal canal
AXR AP shows a left lower extremity PICC that does not follow the course of the iliac vein and whose tip projects at the level of L3 and that projects within the spinal canal on the lateral radiograph. The only gas within the abdomen is in the stomach while all of the small bowel is in a silo outside the abdomen.

The diagnosis was malposition of the PICC within the spinal canal in a patient with gastroschisis.