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Case report: Contraceptive implant migration.

Sahar M Alotaibi¹, Mohammed L Al-Otaibi²

¹Medical Student, College of Medicine, King Khalid University, Abha, Kingdom of Saudi Arabia.

Journal of Family Medicine and Primary Care

|March 14, 2024

Summary

This summary is machine-generated.

Subdermal contraceptive implants like Implanon can migrate deeply, causing rare complications such as ulnar neuropathy. Surgical removal resolved the neurological symptoms in a recent case report.

Keywords:

Arm Implanon contraception foreign-body migration ulnar neuropathies

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Area of Science:

Reproductive Health
Neurology
Medical Devices

Background:

Subdermal contraceptive implants are a popular reversible contraception method.
Implanon is widely used in Saudi Arabia, approved by the Saudi FDA.
While generally safe, implants can cause hormonal side effects and rare, severe complications.

Observation:

A 31-year-old woman experienced ulnar neuropathy.
The condition stemmed from deep proximal migration of an Implanon implant inserted three years prior.
This highlights a rare but serious complication of subdermal implants.

Findings:

Deep migration of subdermal implants into axillary and thoracic structures is a rare event.
This case report details ulnar neuropathy caused by a migrated Implanon.
Surgical removal of the implant using image-enhancing fluoroscopy was successful.

Implications:

This case underscores the importance of recognizing rare complications associated with subdermal contraceptive implants.
Prompt diagnosis and surgical intervention can lead to full recovery of neurological function.
Further research into implant migration prevention and management is warranted.