Work

Intramuscular localisation of an etonogestrel contraceptive implant (Nexplanon®) in the upper arm: a case report

Year: 2026

Type: article

Abstract: Introduction Subdermal contraceptive implants, such as the etonogestrel implant, are highly effective long-acting reversible contraceptives. Intramuscular localization of the implant is a rare complication, particularly when located within deep muscular planes. Case description We report a 28-year-old woman who had an etonogestrel implant inserted in her left arm 2 months prior. She presented with difficulty palpating the implant and localized arm discomfort. Plain radiography confirmed intramuscular localization of the implant. Surgical removal was performed successfully without complications. Learning point Intramuscular localization, although rare, can occur early after insertion and poses challenges for detection and removal. Proper insertion technique, immediate post-insertion palpation, and imaging for non-palpable implants are essential to ensure safe management. Learning points

Source: Research Connections

DOI: 10.1093/rescon/vmag042

Authors: Abdulrahman Mohammed Abdulrahman Abouh, Haitham Abdalla Ali Ismail

Institution: University of Kordofan

Language: English

Topic: Reproductive Health and Contraception

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,000