168 Section V ■ Vascular Access

A B

Fig. 29.16. Effect of abdominal mass stimulating catheter misplacement. Anteroposterior (A) and lateral (B) films show remarkable displacement of a UAC by a giant hematocolpos in a 1-day-old infant.

Fig. 29.17. Vascular compromise in the left

buttock and loin owing to a complication of a

UAC displaced into the internal iliac artery.

For vascular anatomy, see Fig. 29.4.

Chapter 29 ■ Umbilical Artery Catheterization 169

Fig. 29.20. Generalized mottling of skin in infant with severe

hypertension secondary to UAC-associated thrombus in renal

artery.

Fig. 29.19. Autoamputation of forefoot, owing to vascular complication of a UAC.

A B

Fig. 29.18. Arrows indicate mural thrombus in the abdominal aorta, which was associated with an

umbilical arterial line. Upon further dissection of this autopsy specimen, the left renal artery was found to

be occluded by thrombus. The left kidney is showing a degree of atrophy. Both kidneys showed scattered

infarction.