Removal of a subdermal contraceptive implant (Implanon NXT) that migrated to the axilla by C-arm guidance: A case report and review of the literature

Medicine
Ji Ung ParkJeong Woo Park

Abstract

To report the distant migration of a subdermal contraceptive implant and to suggest that C arm-guided technique is one of the feasible options for removal of the device migrated to the axilla. A 41-year-old multipara with tingling sensation in the left axilla was referred for removal of an Implanon NXT which could not be palpated by physical examination or detected by ultrasound scanning. Finally, the device was detected by computed tomography and found migrating to the left axilla. Migration of Implanon NXT to the left axilla abutting the brachial plexus. The device was removed by C arm-guiding. The patient went home without any procedure-related complications. The incidence of distant migration of a subdermal implant is possible and should be checked up regularly. If the device cannot be palpated or detected by ultrasound at the original implanting site, this should be concerned. Since the single-rod subdermal implant is radiopaque, it can be detected by roentgenography. In this case the distant migration was detected in the axilla, therefore using C arm-guided technique is feasible for the removal of the migrating device. After reviewing the literature, totally 10 cases of distant migration were reported including 2 cases of...Continue Reading

References

Feb 22, 2005·The Journal of Family Planning and Reproductive Health Care·Ruth EvansElspeth Lindsay
Mar 12, 2005·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Sofie G PiessensAmanda J Sampson
Jul 22, 2006·The Journal of Family Planning and Reproductive Health Care·Hanan IsmailMadan Singh
Feb 14, 2009·Ultraschall in der Medizin : Organ der Deutschen Gesellschaft für Ultraschall in der Medizin, [der] Österreichischen Gesellschaft für Ultraschall in der Medizin, [der] Schweizerischen Gesellschaft für Ultraschall in Medizin und Biologie·H ProschG H Mostbeck
Apr 4, 2014·The Annals of Thoracic Surgery·Anish PatelNicholas Dodds
Jun 6, 2015·The Annals of Thoracic Surgery·Amy O' BrienCormac Farrelly
Nov 21, 2016·Contraception·Daniela DiegoJose Carugno

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Citations

Sep 11, 2019·Obstetrics and Gynecology·Melissa C MatulichMitchell D Creinin
Jul 3, 2021·Pharmaceuticals·Morena Luigia RoccaCostantino Di Carlo

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Methods Mentioned

BETA
dissection

Software Mentioned

Implanon

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