Migration of a Nexplanon contraceptive implant to the pulmonary artery

BMJ Case Rep. 2017 May 12:2017:bcr2017219259. doi: 10.1136/bcr-2017-219259.

Abstract

This is a case report of a 17-year-old woman who experienced distant intravascular migration of a radio-opaque Nexplanon contraceptive implant. She presented with an impalpable implant and this was located using CT in the left lower lobe pulmonary artery. Significant migration of a contraceptive implant is an uncommon risk. Using radio-opaque contraceptive implants such as Nexplanon increases the ability to locate them if migration occurs.

Keywords: contraception drugs; obstetrics and gynaecology; radiology; sexual health.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Contraceptive Agents, Female / adverse effects*
  • Diagnosis, Differential
  • Drug Implants / adverse effects*
  • Female
  • Foreign-Body Migration / diagnosis*
  • Foreign-Body Migration / diagnostic imaging
  • Humans
  • Pulmonary Artery*
  • Tomography, X-Ray Computed

Substances

  • Contraceptive Agents, Female
  • Drug Implants