Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 6, 2021; 9(22): 6557-6565
Published online Aug 6, 2021. doi: 10.12998/wjcc.v9.i22.6557
Neonatal necrotizing enterocolitis caused by umbilical arterial catheter-associated abdominal aortic embolism: A case report
Xi Huang, Yan-Ling Hu, Yuan Zhao, Qiong Chen, Ying-Xin Li
Xi Huang, Yan-Ling Hu, Yuan Zhao, Qiong Chen, Ying-Xin Li, Department of Neonatal Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu 610041, Sichuan Province, China
Xi Huang, Yan-Ling Hu, Yuan Zhao, Qiong Chen, Ying-Xin Li, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Sichuan University, Ministry of Education, Chengdu 610041, Sichuan Province, China
Author contributions: Huang X contributed to the study design and data analysis and drafted the manuscript; Li YX contributed to the data analysis and critically revised the manuscript; Hu YL, Zhao Y, and Chen Q critically revised the manuscript; all authors read and approved the final manuscript.
Supported by the 2020 Scientific Research Project of the Sichuan Health and Family Planning Commission, No. 20PJ081.
Informed consent statement: The parents of the patient were informed about treatment-related risks and solutions. In addition, written informed consent was obtained from the patient’s parents for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to report.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ying-Xin Li, MSN, Nurse, Department of Neonatal Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University, No. 20 Section 3, Renmin South Road, Chengdu 610041, Sichuan Province, China. 632915584@qq.com
Received: April 12, 2021
Peer-review started: April 12, 2021
First decision: April 23, 2021
Revised: May 1, 2021
Accepted: May 15, 2021
Article in press: May 15, 2021
Published online: August 6, 2021
Core Tip

Core Tip: We report a rare case of an extremely low birth weight infant with necrotizing enterocolitis (NEC) caused by umbilical arterial catheter-associated abdominal aortic embolism. Umbilical arterial and venous catheters were inserted on the day after birth and were removed 9 d later. Within 48 h after extubation, the patient’s manifestations were considered consistent with NEC. Color Doppler ultrasound showed partial thrombosis of the abdominal aorta (2 cm × 0.3 cm). She was treated with nil per os, gastrointestinal decompression, blood transfusion, anti-infective therapy, and low-molecular-weight heparin sodium q12h for anticoagulant therapy. On the 67th day after admission, the patient fully recovered and was discharged.