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Baek, Kim, Seo, and Kim: Removal of migrated subdermal contraceptive implant (Implanon) to axillar: A case report
Case Report
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2012; 55(11): 878-881.

Published online: 16 November 2012

DOI: https://doi.org/10.5468/KJOG.2012.55.11.878

Removal of migrated subdermal contraceptive implant (Implanon) to axillar: A case report

Jeong Hye Baek, MD1, Min A Kim, MD1, Kyung Seo, MD1, Seong Joon Kim, MD2

1Department of Obsterics and Gynecology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

2Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

Corresponding author: Kyung Seo, MD. Department of Obsterics and Gynecology, Gangnam Severance Hospital, Yonsei University College of Medicine, 211 Eonju-ro, Gangnam-gu, Seoul 135-720, Korea. Tel: +82-2-2019-3433, Fax: +82-2-3462-8209, kyungseo@yuhs.ac

Received 27 May 2012       Revised 21 June 2012       Accepted 21 June 2012

Copyright © 2012. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Implanon, a single-rod subdermal contraceptive implant is usually located around the insertion site, Implanon has been usually known to migrate within less than 2 cm of the insertion site and the true migration over 2 cm has been rarely reported. We found a patient whose implanon was located near the brachial neurovascular bundle of left axillary fossa which is about 15 cm upward from the insertion site. We removed it successfully without complication and report the case with literature review.

Keywords: Foreign-body migration, Contraceptive agents, Female, Drug implants

Figures and Tables

Fig. 1
Implanon was seen just proximal brachial neurovascular bundle sheath (arrow, implanon).
kjog-55-878-g001
Fig. 2
Implanon is located in brachial neurovascular bundle sheath (arrow, implanon; MN, median nerve; BA, brachial artery).
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Fig. 3
Locating an Implanon with probe of ultrasound sonography.
kjog-55-878-g003
Fig. 4
Forceps removal of Implanon from the axilla.
kjog-55-878-g004
Fig. 5
Skin incision was closed layer by layer.
kjog-55-878-g005

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