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Obstetrics and gynaecology
Early endovascular retrieval of a migrated Implanon NXT from a branch of the right pulmonary artery
  1. Michelle Borg1,2,
  2. Mathusi Swaminathan1,
  3. Johnson Cheuk1,
  4. Joanne Michael1 and
  5. Graeme Walker1
  1. 1Obstetrics and Gynaecology, Gold Coast Hospital and Health Service, Southport, Queensland, Australia
  2. 2Griffith University, Brisbane, Queensland, Australia
  1. Correspondence to Dr Michelle Borg; michelle.borg{at}health.qld.gov.au

Abstract

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.

  • Obstetrics, gynaecology and fertility
  • Contraception
  • Reproductive medicine
  • Drugs: obstetrics and gynaecology

https://doi.org/10.1136/bcr-2024-261381

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    Footnotes

    • Contributors MB, MS, JC, JM and GW were responsible for drafting the text, sourcing and editing clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content. MB, MS, JC, JM and GW gave final approval of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.