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LUE PICC with tip in descending aorta

Degon MD - MedPix (2009)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: LUE PICC with tip in descending aorta

History: Infant female day of life 43, currently in NICU s/p delivery at gestation age of 26week three days. Persistent cardiovascular, respiratory, renal, and feeding problems. Now with new onset increased gastric reflux, deteriorating respiratory status, diagnosed as NEC secondary to pneumatosis intestinalis on previous radiograph, disease course being followed radiographically.

Findings: Diffuse bowel gas pattern, thickened bowel wall, consistent with previous diagnosis of NEC PICC line in LUE with tip terminating on left side of mediastinum

Ddx: PICC line misplacement - arterial catherization Aberrant anatomy (i.e. persistent left SVC emptying into left atrium)

Dxhow: Radiographically. Patient had a previous cardiac echo demonstrating normal anatomy.

Exam: Premarture infant female, on 1LNC and OG tube feedings PICC in LUE Afebrile

No MeSH data available.


LUE PICC does not course to the right toward the SVC as expected, but rather descends on the left side of the mediastinum.
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MPX2593_synpic47860: LUE PICC does not course to the right toward the SVC as expected, but rather descends on the left side of the mediastinum.


LUE PICC with tip in descending aorta

Degon MD - MedPix (2009)

LUE PICC does not course to the right toward the SVC as expected, but rather descends on the left side of the mediastinum.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2593&req=5

MPX2593_synpic47860: LUE PICC does not course to the right toward the SVC as expected, but rather descends on the left side of the mediastinum.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: LUE PICC with tip in descending aorta

History: Infant female day of life 43, currently in NICU s/p delivery at gestation age of 26week three days. Persistent cardiovascular, respiratory, renal, and feeding problems. Now with new onset increased gastric reflux, deteriorating respiratory status, diagnosed as NEC secondary to pneumatosis intestinalis on previous radiograph, disease course being followed radiographically.

Findings: Diffuse bowel gas pattern, thickened bowel wall, consistent with previous diagnosis of NEC PICC line in LUE with tip terminating on left side of mediastinum

Ddx: PICC line misplacement - arterial catherization Aberrant anatomy (i.e. persistent left SVC emptying into left atrium)

Dxhow: Radiographically. Patient had a previous cardiac echo demonstrating normal anatomy.

Exam: Premarture infant female, on 1LNC and OG tube feedings PICC in LUE Afebrile

No MeSH data available.