Belyea Christopher, Ernat Justin, Gumboc Rey
Department of Orthopaedic Surgery, Tripler Army Medical Center, Tripler AMC, HI.
Department of Orthopaedic Surgery, Tripler Army Medical Center, Tripler AMC, HI.
J Hand Surg Am. 2017 Feb;42(2):e115-e117. doi: 10.1016/j.jhsa.2016.10.013. Epub 2016 Nov 23.
Subdermal implantable devices are commonly used for long-acting contraception in the United States and Europe. Although relatively safe in nature, their implantation and removal may be associated with potential complications, some of which may require surgical intervention. Complications may include infection, incorrect implantation, migration, or difficulty with removal. Proximal migration has been reported; however, there are no reports of devices that have migrated within the brachial neurovascular sheath. This case report describes migration of an implantable contraceptive within the brachial neurovascular sheath that required surgical removal.
皮下植入式装置在美国和欧洲常用于长效避孕。虽然其本质上相对安全,但其植入和取出可能会伴有潜在并发症,其中一些可能需要手术干预。并发症可能包括感染、植入不当、移位或取出困难。已有近端移位的报道;然而,尚无关于装置在臂部神经血管鞘内移位的报道。本病例报告描述了一例可植入式避孕装置在臂部神经血管鞘内移位并需手术取出的情况。