Hepatic Calcified Tumor-like Mass Complicating Umbilical Vein Catheterization in a Neonate.

Autor: Resnick JM; 1 Department of Pathology, Marshfield Clinic, Marshfield, Wisconsin, USA., Carmichael B; 2 Department of Radiology, Marshfield Clinic, Marshfield, Wisconsin, USA., Winder A; 3 Department of Pediatrics, Marshfield Clinic, Marshfield, Wisconsin, USA., Dominguez KM; 4 Department of Surgery, Marshfield Clinic, Marshfield, Wisconsin, USA.
Jazyk: angličtina
Zdroj: Pediatric and developmental pathology : the official journal of the Society for Pediatric Pathology and the Paediatric Pathology Society [Pediatr Dev Pathol] 2017 Jun; Vol. 20 (3), pp. 251-254. Date of Electronic Publication: 2017 Jan 25.
DOI: 10.1177/1093526616686246
Abstrakt: Presented is a case of a hepatic calcified mass complicating umbilical vein catheterization in a neonate and diagnosed by wedge biopsy. Wedge biopsy of the hepatic mass, situated in proximity to the falciform ligament, revealed expansion of portal tracts by fibrosis and calcification. Some aggregates of calcified material appeared in ectatic vascular spaces. The biopsy findings accounted for the radiographic appearance of the mass and the constellation of features were deemed indicative of calcification secondary to umbilical vein catheterization. Umbilical vein catheterization in neonates may be complicated by a calcified mass that requires histologic evaluation for distinction from other space-occupying lesions. Such a calcified pseudotumor may develop after an umbilical catheter has been in place for only 5 days.
Databáze: MEDLINE