The Neonatal Enigma: Unravelling the Mystery of Cola-Coloured Urine

Revant  Kumar; Hamsika V; Ahna  Ahmed

Revant Kumar Postgraduate Resident, Department of Pediatrics, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi
Hamsika V Postgraduate Resident, Department of Pediatrics, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi
Ahna Ahmed Postgraduate Resident, Department of Pediatrics, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi

Keywords: Umbilical venous catheterization, POCUS, Umbilical artery catheterization, Neonatal Haematuria

Abstract

A 12-hour-old neonate was brought to the pediatrics emergency department with respiratory distress since birth and cola-colored urine noted at admission. The patient had no other bleeding manifestations, and the coagulation profile was normal. POCUS revealed that the umbilical catheter was positioned in the umbilical artery instead of the umbilical vein. The umbilical catheter was immediately removed, and peripheral access was secured. The hematuria resolved over the next twelve hours. The temporal association of the event suggested that the cause of hematuria was inadvertent umbilical artery catheterization leading to renal artery occlusion. Our case highlights the role of POCUS in rapid confirmation of central line position, especially in patients with circulatory collapse.

How to cite this article:
Kumar R, Hamsika V, Ahmed A. The Neonatal Enigma: Unravelling the Mystery of Cola-Coloured Urine. Postgrad J Pediatr Adol Med. 2026;3(1): 10-12.

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