Publication Name	World Journal of Clinical Pediatrics
Manuscript ID	114242
Country	India

Category	Pediatrics
Manuscript Type	Case Report
Article Title	Not all that drains is gut - umbilical venous catheter extravasation masquerading as intestinal perforation: A case report
Manuscript Source	Invited Manuscript
All Author List	Ayush Kumar, Sanju Sidaraddi, Prashali Patil, Amit Padmakar Ghawade, Prashant Moralwar and Anish Pillai
Funding Agency and Grant Number
Corresponding Author	Anish Pillai, Consultant, Head, MD, Department of Neonatology and Pediatrics, Motherhood Hospital, Fountain Square Building, Sector 7, Navi Mumbai 410210, Maharashtra, India. anishgp1@yahoo.co.in
Key Words	Umbilical line; Preterm; Spontaneous intestinal perforation; Peritoneal drain, complications; Umbilical venous catheterization; Case report
Core Tip	We describe the first case of umbilical venous catheterization extravasation masquerading as high-output peritoneal drainage in the context of spontaneous intestinal perforation. Unlike typical presentations of abdominal distension or metabolic derangements, our patient exhibited persistently clear drain output, delaying diagnosis. Radiographic confirmation and prompt catheter removal led to rapid recovery. This case underscores the need for vigilance, early imaging, and multidisciplinary collaboration when managing unexplained peritoneal drainage in preterm infants with central lines.
Citation	Kumar A, Sidaraddi S, Patil P, Ghawade AP, Moralwar P, Pillai A. Not all that drains is gut - umbilical venous catheter extravasation masquerading as intestinal perforation: A case report. World J Clin Pediatr 2025; In press

Received	2025-09-16 06:28
Peer-Review Started	2025-09-16 06:28
First Decision by Editorial Office Director	2025-09-30 08:29
Return for Revision	2025-09-30 08:29
Revised	2025-10-14 15:14
Publication Fee Transferred
Second Decision by Editor	2025-12-02 02:46
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2025-12-02 06:03
Articles in Press	2025-12-02 06:03
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2219-2808 (online)
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