Enabi Joud, Al-Ayyubi Rami, Amador Pablo, Herrera Alejandro, Deepika Devalla
Internal Medicine, Texas Tech University Health Sciences Center, Odessa, USA.
Internal Medicine, Midland Memorial Hospital, Midland, USA.
Cureus. 2023 Nov 2;15(11):e48179. doi: 10.7759/cureus.48179. eCollection 2023 Nov.
Subdermal contraceptive implants are usually inserted subdermally and carry the possibility to migrate within a small range, usually less than 2 cm from the insertion sites; significant migration over 2 cm is rare. This paper discusses the case of a 38-year-old female patient with a migrated subdermal Implanon contraceptive implant in the left pulmonary artery. On chest computed tomography, roughly a 4 cm long linear hyperdensity foreign body in the left lower lobe was found and was favored to be a migrated Implanon in a subsegmental pulmonary artery branch. An interventional radiologist performed an endovascular removal of the left pulmonary artery Implanon using a right common femoral vein access. Very few cases have been reported of complications with inserting and removing the subdermal contraceptive implants as it is considered a reasonably safe procedure in the hands of physicians familiar with the technique. Therefore, if a properly trained individual had carried out the correct procedure of inserting a subdermal implant, the migration of an implant over 2 cm should not occur.
皮下避孕植入物通常通过皮下植入，有可能在小范围内迁移，通常距离植入部位不到2厘米；超过2厘米的显著迁移很少见。本文讨论了一名38岁女性患者的病例，其皮下依伴侬避孕植入物迁移至左肺动脉。在胸部计算机断层扫描中，在左下叶发现了一个大约4厘米长的线性高密度异物，倾向于认为是在肺段动脉分支中迁移的依伴侬。一名介入放射科医生通过右股总静脉入路对左肺动脉依伴侬进行了血管内取出。皮下避孕植入物的插入和取出并发症报道极少，因为在熟悉该技术的医生手中，这被认为是一种相当安全的操作。因此，如果经过适当培训的人员进行了正确的皮下植入操作，植入物超过2厘米的迁移就不应发生。
