Embolization of a contraceptive implant into the pulmonary vasculature in an adolescent female

Embolization of a contraceptive implant into the pulmonary vasculature in an adolescent female Nexplanon is a long-acting 4cm radio-opaque rod shaped contraceptive device implanted in the subdermal layer of the inner, upper arm. Complications from implantation are uncommon and mostly local and minor, including infection at the implantation site with resulting cellulitis or abscess, hematoma, abnormal scar formation, or local damage to nerves and blood vessels. Intravascular insertion is estimated to be at 1.3 per million Nexplanon implants, and migration and embolization is a rare complication of this device. We present a case report of a 16year old female who presented to the pediatric emergency department with subjective dyspnea and an embolized contraceptive device within a subsegmental branch of the left lower lobe pulmonary artery. After discussion with consultants, interventional radiology was able to successful retrieve the device without complication. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png The American Journal of Emergency Medicine Elsevier

Embolization of a contraceptive implant into the pulmonary vasculature in an adolescent female

The American Journal of Emergency Medicine , Volume 36 (6) – Jun 1, 2018

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Publisher
Elsevier
Copyright
Copyright © 2018 Elsevier Inc.
ISSN
0735-6757
D.O.I.
10.1016/j.ajem.2018.03.004
Publisher site
See Article on Publisher Site

Abstract

Nexplanon is a long-acting 4cm radio-opaque rod shaped contraceptive device implanted in the subdermal layer of the inner, upper arm. Complications from implantation are uncommon and mostly local and minor, including infection at the implantation site with resulting cellulitis or abscess, hematoma, abnormal scar formation, or local damage to nerves and blood vessels. Intravascular insertion is estimated to be at 1.3 per million Nexplanon implants, and migration and embolization is a rare complication of this device. We present a case report of a 16year old female who presented to the pediatric emergency department with subjective dyspnea and an embolized contraceptive device within a subsegmental branch of the left lower lobe pulmonary artery. After discussion with consultants, interventional radiology was able to successful retrieve the device without complication.

Journal

The American Journal of Emergency MedicineElsevier

Published: Jun 1, 2018

References

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