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.