Case Reports in Women's Health (Oct 2015)

Migration of a contraceptive subcutaneous device into the pulmonary artery. Report of a case

  • Pierre-Marie Heudes,
  • Valerie Laigle Querat,
  • Eric Darnis,
  • Claire Defrance,
  • Frederic Douane,
  • Eric Frampas

DOI
https://doi.org/10.1016/j.crwh.2015.09.002
Journal volume & issue
Vol. 8
pp. 6 – 8

Abstract

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The case is about an 18 year-old woman who benefited of a radiopaque contraceptive implant (Nexplanon) inserted in the left arm. When she wanted to remove it, it couldn't be found by palpation, US, CT and MRI. A CXR and a thoracic CT scan were necessary to locate the implant, and the implant was removed by endovascular procedures.Significant migration of a contraceptive implant is uncommon, and only one case of migration far from the insertion limb has been reported. Using radiopaque contraceptive implants like Nexplanon could locate them easier if a migration occurs. Keywords: Migration of contraceptive implant, Foreign body