Percutaneous central line extravasation masquerading as an abscess

Abstract

Background: Percutaneous central line insertion is a common procedure in the neonatal intensive care unit.

Case characteristics: A preterm baby, who had a percutaneous central line inserted developed an erythematous swelling over the infraclavicular area.

Observation: A diagnosis of abscess was made, and an incision and drainage done that revealed a white fluid with high triglyceride content, confirming lipid extravasation.

Outcome: The lesion healed completely few days after removal of the catheter.

Message: This case highlights the importance of proper placement and confirmation of central line position.