Total parenteral nutrition through a peripheral venous access is a good alternative in the management of critically ill patients in the ICU who cannot be adequately fed. However, it carries an inherent risk of extravasation which results in skin and tissue necrosis. In the present report we discuss a case of accidental extravasation of peripheral parenteral nutrition solution causing serious skin necrosis. The importance of this case report lies on the high frequency of patients who need total

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... arenteral nutrition in ICU units and that sterile dressings with Goulard's extract is a non-invasive alternative in the early period of skin lesions before needing invasive operations like debridement or/and amputation.