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Contraceptive implant migration to the lung
A 27-year-old female presented with a ‘missing’ contraceptive implant. Chest imaging demonstrated a 4-cm linear opacity in a subsegmental branch of the pulmonary artery to the left lower lobe consistent with a migrated contraceptive implant. A mini-thoracotomy and arteriotomy was performed. The arte...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The British Institute of Radiology.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8749403/ https://www.ncbi.nlm.nih.gov/pubmed/35047201 http://dx.doi.org/10.1259/bjrcr.20200216 |
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author | Wali, Anuj Bilkhu, Rajdeep Rizzo, Victoria Bille, Andrea |
author_facet | Wali, Anuj Bilkhu, Rajdeep Rizzo, Victoria Bille, Andrea |
author_sort | Wali, Anuj |
collection | PubMed |
description | A 27-year-old female presented with a ‘missing’ contraceptive implant. Chest imaging demonstrated a 4-cm linear opacity in a subsegmental branch of the pulmonary artery to the left lower lobe consistent with a migrated contraceptive implant. A mini-thoracotomy and arteriotomy was performed. The artery was opened distally to its third division. However, it was not possible to retrieve the implant, and the decision was made to proceed to segmentectomy. After resection, it was noted that the foreign body had significantly endothelialised within the wall of the artery and required sharp dissection for removal. This is the first case report to demonstrate the complete endothelialisation and subsequent difficulty in removal of an embolised contraceptive implant. We hope this report adds to the growing body of literature to guide management of this extremely rare but serious complication. |
format | Online Article Text |
id | pubmed-8749403 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | The British Institute of Radiology. |
record_format | MEDLINE/PubMed |
spelling | pubmed-87494032022-01-18 Contraceptive implant migration to the lung Wali, Anuj Bilkhu, Rajdeep Rizzo, Victoria Bille, Andrea BJR Case Rep Case Report A 27-year-old female presented with a ‘missing’ contraceptive implant. Chest imaging demonstrated a 4-cm linear opacity in a subsegmental branch of the pulmonary artery to the left lower lobe consistent with a migrated contraceptive implant. A mini-thoracotomy and arteriotomy was performed. The artery was opened distally to its third division. However, it was not possible to retrieve the implant, and the decision was made to proceed to segmentectomy. After resection, it was noted that the foreign body had significantly endothelialised within the wall of the artery and required sharp dissection for removal. This is the first case report to demonstrate the complete endothelialisation and subsequent difficulty in removal of an embolised contraceptive implant. We hope this report adds to the growing body of literature to guide management of this extremely rare but serious complication. The British Institute of Radiology. 2021-05-12 /pmc/articles/PMC8749403/ /pubmed/35047201 http://dx.doi.org/10.1259/bjrcr.20200216 Text en © 2021 The Authors. Published by the British Institute of Radiology https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Case Report Wali, Anuj Bilkhu, Rajdeep Rizzo, Victoria Bille, Andrea Contraceptive implant migration to the lung |
title | Contraceptive implant migration to the lung |
title_full | Contraceptive implant migration to the lung |
title_fullStr | Contraceptive implant migration to the lung |
title_full_unstemmed | Contraceptive implant migration to the lung |
title_short | Contraceptive implant migration to the lung |
title_sort | contraceptive implant migration to the lung |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8749403/ https://www.ncbi.nlm.nih.gov/pubmed/35047201 http://dx.doi.org/10.1259/bjrcr.20200216 |
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