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Clinical Pediatrics
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Umbilical Artery Catheterization: A Potential cause of Refractory Hypoglycemia

Munir Malik, MD

Department of Pediatrics, University of Oklahoma, Tulsa Medical College

Don P. Wilson, MD

Section of Endocrinology, H. Allen Chapman Research Institute of Medical Genetics, Tulsa, Oklahoma

Two infants with persistent, symptomatic hypoglycemia are reported. Both were thought to have iatrogenic hyperinsulinism due to a malpositioned umbilical artery catheter. Repositioning of the catheter to avoid direct infusion into the arterial blood supply to the pancreas resulted in prompt cessation of hypoglycemia.

Clinical Pediatrics, Vol. 26, No. 4, 181-182 (1987)
DOI: 10.1177/000992288702600404
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