Day: October 22, 2023

Newborn after PICC placement

AXR of PICC line tip in spinal canal
AXR lateral (left) shows the tip of a right lower extremity PICC line looping back upon itself and projecting over the spinal canal. AXR AP (right) after reposition of the line shows the tip projecting over the inferior vena cava. The patient also has a large anterior abdominal wall defect containing loops of bowel which is covered by a membranous sac.

The diagnosis was peripherally inserted central venous catheter malfunction with the tip within the spinal canal in a patient with an ompahlocele.