Percutaneous Central Line Extravasation Masquerading as an Abscess.

Background: Percutaneous central line insertion is a common procedure in the neonatal intensive care unit. Case characteristics: A preterm baby, who had a percutaneous central line inserted developed an erythematous swelling over the infraclavicular area. Observation: A diagnosis of abscess was made, and an incision and drainage done that revealed a white fluid with high triglyceride content, confirming lipid extravasation. Outcome: The lesion healed completely few days after removal of the catheter. Message: This case highlights the importance of proper placement and confirmation of central line position.