Obstetrics and Gynaecology, Gold Coast Hospital and Health Service, Southport, Queensland, Australia
Griffith University, Brisbane, Queensland, Australia.
BMJ Case Rep. 2024 Aug 14;17(8):e261381. doi: 10.1136/bcr-2024-261381.
A woman in her 20s was referred to a tertiary hospital emergency department for management of a migrating Implanon NXT. The Implanon was inserted 1 week prior by the patient's general practitioner who was unable to palpate the Implanon after insertion and hence, ordered an ultrasound scan which showed an actively migrating Implanon in the left basilic vein. She had mild chest pain, and her physical examination, ECG and blood tests were unremarkable. A CT chest showed a 31 mm foreign body within the right lower lobar artery. The foreign body was removed by interventional radiology by accessing the right internal jugular vein under ultrasound guidance and inserting a 6 FR pig catheter into the pulmonary trunk. The position was confirmed with angiogram and the foreign body was removed using a goose neck snare. The patient was discharged the same day with no complications, and fell pregnant a few months afterwards.
一位 20 多岁的女性因可移动的 Implanon NXT 而被转诊到一家三级医院的急诊部进行治疗。Implanon 是在一周前由患者的全科医生植入的，在植入后全科医生无法触诊到 Implanon，因此，他下令进行超声检查，结果显示 Implanon 正在左侧贵要静脉中活动迁移。她有轻度胸痛，体格检查、心电图和血液检查均无异常。胸部 CT 显示右下肺叶动脉内有一个 31 毫米的异物。该异物通过在超声引导下经右颈内静脉进入，并将一个 6 FR 猪尾导管插入肺动脉干，在介入放射学的帮助下被取出。通过血管造影确认了位置，并使用鹅颈套圈取出了异物。患者当天出院，没有出现并发症，几个月后怀孕了。
