皮下避孕器植入物迁移到肺动脉分支
Tooba Kareem1, David Frain2, Samavia Raza2
1Radiology, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK drtoobakareem@hotmail.com.
BMJ case reports
|January 30, 2025
概括
皮下避孕植入物很少在错位后迁移到肺部. 这个案例详细介绍了植入物通过静脉到肺动脉的旅程,强调了这种罕见并发症的治疗选择.
科学领域:
- 医学案例报告 病例报告
- 放射学 放射学是一门学科.
- 肺部病理学 肺部病理学
背景情况:
- 在全球范围内,皮下避孕植入物被广泛使用.
- 一种罕见的并发症是由于插入错误而导致植入物迁移到肺部.
- 这些植入物所导致的肺栓塞的确诊病例有限.
研究的目的:
- 报告一种独特的皮下避孕药植入肺栓塞病例.
- 为了说明错位植入物的迁移路径.
- 讨论这种罕见事件的管理策略.
主要方法:
- 一个患有迁移的皮下避孕植入物患者的案例介绍.
- 放射性成像以确定植入物位置和迁移途径.
- 对异物肺栓塞的治疗选择的审查.
主要成果:
- 一个皮下避孕植入物从皮下组织迁移到上肢静脉中.
- 植入物穿过静脉系统,心脏和肺动脉.
- 它在左下叶肺动脉的亚分段分支中栓塞.
结论:
- 植入物错位可能导致罕见但严重的肺栓塞.
- 及时诊断和适当的管理是至关重要的.
- 治疗可能包括内血管检索或手术干预.
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