Choi Ji Hui, Kim Ha-Yeon, Lee Sung Soo, Cho SiHyun
Department of Obstetrics and Gynecology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Department of Chest Thoracic Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Obstet Gynecol Sci. 2017 May;60(3):314-317. doi: 10.5468/ogs.2017.60.3.314. Epub 2017 May 15.
A single-rod subdermal contraceptive implant is usually located around the insertion site, has been usually known to migrate within less than 2 cm of the insertion site and the true migration over 2 cm has been rarely reported. We report a case of migrated radiopaque subdermal contraceptive implant into lung in a 37-year-old woman. On conducted chest computed tomography, subdermal contraceptive implant was in subsegmental branch in left posterior basal segment of lung. Removal of subdermal contraceptive implant in left posterior basal segment of lung by mini-thoracotomy was performed by a chest surgeon. Complications with insertion and removal of subdermal contraceptive implant are rare in the hands of medical professionals familiar with the techniques and these procedures should only be undertaken by those with relevant training. The migration over 2 cm should not occur if the correct subdermal insertion procedure is followed and carried out by a properly trained individual.
单棒皮下避孕植入物通常位于插入部位周围，通常已知其会在距插入部位不到2厘米的范围内迁移，而超过2厘米的真正迁移情况很少有报道。我们报告了一例37岁女性的不透X线皮下避孕植入物迁移至肺部的病例。在进行胸部计算机断层扫描时，皮下避孕植入物位于左肺后基底段的亚段分支中。胸外科医生通过小切口开胸手术取出了左肺后基底段的皮下避孕植入物。在熟悉这些技术的医学专业人员手中，皮下避孕植入物的插入和取出并发症很少见，并且这些操作仅应由经过相关培训的人员进行。如果由经过适当培训的人员遵循并执行正确的皮下插入程序，则不应发生超过2厘米的迁移。
