Migration of a Subdermal Contraceptive Implant into Left Pulmonary Artery: A Case Report and Literature Review
Year: 2024
Type: article
Study design: Case Report
Abstract: Long-acting contraceptives including subdermal implants are reversible methods considered as first-line choice from National and International Guidelines due to their high efficacy not related to patient adherence. We report the first Italian case of an asymptomatic Nexplanon migration to a pulmonary artery in a 36-year-old Caucasian female patient. On chest CT a radiopaque foreign body, with a thread-like appearance, approximately 40 mm long and approximately 4 mm thick, located endo-luminally between the left lower interlobar branch and a segmental branch of the left pulmonary artery tributary to the apical segment of the lower lobe was found. A successful removal of the implant displaced in left pulmonary artery via right transfemoral venous access was performed by endovascular surgeon. Healthcare providers training in subdermal implant insertion is needed for correct device placement in order to reduce risk of complications.
Authors: Oliva Cosimo, Dominicis Achille De, Galli Valerio, Monti Marco, Rotolo Stefano, Marcelli Giuliano, Salvati Fabrizio, Canitano Stefano, Murina Filippo, Trani Carlo, Spina Vincenzo, Musella Angela
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4407106768