{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:36:14Z","timestamp":1777876574858,"version":"3.51.4"},"reference-count":7,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T00:00:00Z","timestamp":1741910400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Neonatal-Perinatal Medicine"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:p>Peripherally inserted central catheter (PICC) malposition is an underrecognized complication among neonatologists, especially when inserted in the lower extremity. In this report, we describe a rare abdominal wall complication of PICC placement through the saphenous vein in an extreme preterm, manifested clinically by hypoglycemia and a seemingly abdominal wall abscess. It was only after a lateral X-ray cross-table view of the abdomen that the abdominal wall collection was found to be a total parenteral nutrition (TPN) content extravasation, as the PICC tip was located inside the abdominal wall, which mandated its immediate removal. The patient\u2019s condition improved markedly afterward, leaving only a minor abdominal scar. Our case highlights the necessity of acquiring both anteroposterior and lateral X-ray images following PICC placement in the lower extremities to verify the correct catheter positioning and avoid potential complications.<\/jats:p>","DOI":"10.1177\/19345798251327379","type":"journal-article","created":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T04:39:23Z","timestamp":1741927163000},"page":"279-281","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["A rare yet preventable complication of lower extremity PICC malposition in an extreme preterm: Implications for enhanced procedural imaging standards"],"prefix":"10.1177","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8967-0411","authenticated-orcid":false,"given":"Manal","family":"Mouhssine","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Division of Neonatology, Tawam Hospital, Al Ain, UAE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5229-6455","authenticated-orcid":false,"given":"Aimen","family":"Ben Ayad","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Neonatology, Tawam Hospital, Al Ain, UAE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7904-7095","authenticated-orcid":false,"given":"Aiman","family":"Rahmani","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Neonatology, Tawam Hospital, Al Ain, UAE"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,3,14]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.5811\/westjem.2015.7.26248"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/fn.86.1.F61"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.21699\/jns.v6i1.406"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7211363"},{"issue":"10","key":"e_1_3_4_6_2","first-page":"e833","article-title":"Pneumorrhachis resulting in transient paresis after PICC line insertion into the ascending lumbar vein","volume":"8","author":"Payne R","year":"2016","unstructured":"Payne R, Sieg EP, Choudhary A, et al. Pneumorrhachis resulting in transient paresis after PICC line insertion into the ascending lumbar vein. 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