ABSTRACT
The value of parenteral nutrition when indicated is well known, however its provision is associated with significant and sometimes life threatening complications. While the high flow in central veins may be preferable for administration, the use of peripheral intravenous nutrition has been growing in recent years. We present the case of an infant who had transfermoral long line insertion for administration of parenteral nutrition for management of the short bowel syndrome following massive bowel resection for midgut volvulus. The cannula passed into the inferior epigastric vein rather than the inferior vena cava and septic complications ensued. Prompt surgical management averted the potentially fatal onset of necrotizing fasciitis and the infant survived