Percutaneous central line extravasation masquerading as an abscess

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.