Malpositioned Central Line in A Neonate Presenting as Superficial Abdominal Abscess

Peripherally inserted central catheters (PICC) have become a routine in intensive care units. Although very effective, they can have life threatening complications like migration, breakage, thrombosis and colonisation [1]. The tip position of PICC lines must always be confirmed. Fluoroscopic placement is ideal, but cannot be done at the bedside and is costly [2]. Single antero-posterior radiograph is the most commonly used and convenient method. Malposition can lead to grave consequences like extravasations and sepsis. Central line migration and extravasation leading to superficial abscess is rare [3,4]. We report a neonate who developed a superficial abdominal collection following surgery due to extravasation through the PICC line.