Int J Clin Pediatr

International Journal of Clinical Pediatrics, ISSN 1927-1255 print, 1927-1263 online, Open Access

Article copyright, the authors; Journal compilation copyright, Int J Clin Pediatr and Elmer Press Inc

Journal website http://www.theijcp.org

Case Report

Volume 8, Number 1, August 2019, pages 22-25

A Preterm Infant With Mild Abdominal Distension and Rising C-Reactive Protein

Figures

Figure 1. Normal chest and abdomen radiology on admission showing correctly placed UVC at the level of T9. UVC: umbilical venous catheter.

Figure 2. Abdominal ultrasound shows multiloculated cystic lesion in the right lobe of liver measuring 4.1 × 3.2 cm (red arrows).

Figure 3. Abdominal X-ray on day 4 shows downward displacement of UVC in the hepatic parenchyma. UVC: umbilical venous catheter.

Figure 4. (a-e) Serial abdominal ultrasound images show the gradual regression of the hepatic collection with complete resolution at 6 months of age.

Table

**Table 1.** Laboratory Data Follow-Up on Admission Till 4 Months of Age
	FBC			LFT							PT	CRP	Na	K	Cr
	WBC	Hb	Plat	TB, mg/dL	ALP, U/L	ALT, U/L	TP, g/dL	Alb, g/dL	Glob	AFP, ng/mL	PT	CRP	Na	K	Cr
FBC: full blood count; LFT: liver function test; WBC: white blood cells; Hb: hemoglobin; Plat: platelets; TB: total bilirubin; ALP: alkaline phosphatase; ALT: alanine transferase; TP: total protein; Alb: albumin; Glob: globulin; AFP: alpha-fetoprotein protein; PT: prothrombin time; CRP: C-reactive protein; Cr: creatinine.
Day 1	13.2	14.9	372	0.9	-	-	-	-	-	-	-	7.1	139	5	-
Day 4	13.7	15.2	385	4.5	264	35	5.1	3.2	1.9	-	14	22	142	3.5	0.6
Day 10	8.9	8	455	1.9	259	22	5.1	3	2.1	30,000	12	41.5	139	5.4	0.6
Day 24	8	9.7	487	1	277	13	5.3	2.9	2.4	30,000	10	29.9	137	4.1	0.5
Day 40	10.9	8.2	441	0.8	246	13	4.9	3.1	1.8	-	-	16.5	-	-	0.2
2 months	8	8	561	0.6	411	14	4.8	3	1.8	11,156	-	5.4	137	4.9	0.5
4 months	-	-	-	1	440	15	4.8	3.2	1.6	1,258	-	Neg	138	4.7	-