A curious case of abdominal wall cellulitis in a preterm neonate due to PICC Line displacement

Abstract

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. The tip position of PICC lines must always be confirmed. Fluoroscopic placement is ideal, but cannot be done at the bedside and is costly. 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. We report a neonate who developed abdominal wall cellulitis due to migration and extravasation of the PICC line.