A peripherally inserted central catheter (PICC) is one of the frequently done procedures in the neonatal intensive care unite (NICU). It is used to deliver medication and total parenteral nutrition (TPN) to the patient. However, in preterm newborns, achieving good vascular access sometimes becomes a challenge. In our report, we are describing our experience in achieving PICC in a preterm baby through an unusual vascular tract. The line inserted through one of the superficial abdominal veins went to the epigastric vein, proceeds to the internal thoracic vein (internal mammary vein), and then to the superior vena cava (SVC). Finally, it reaches the cavo-atrial junction. The line has been confirmed radiologically and used safely and effectively.

A peripherally inserted central catheter (PICC) is one of the frequently done procedures in the neonatal intensive care unite (NICU). It is used to deliver medication and total parenteral nutrition (TPN) to the patient. However, in preterm newborns, achieving good vascular access sometimes become...