Author(s): Myat San Yi, Soe Lwin, Khin Than Yee, Mi Mi Khaing, Philip Korah, Tin Moe Nwe, Mon Mon Yee

Email(s): myatsanyee@gmail.com

DOI: 10.52711/0974-360X.2025.00056   

Address: Myat San Yi1, Soe Lwin2, Khin Than Yee2, Mi Mi Khaing3, Philip Korah1, Tin Moe Nwe2, Mon Mon Yee4
1Suri Seri Begawan Hospital, Kuala Belait.
2Universiti Kuala Lumpur (Royal College of Medicine Perak), Ipoh, Malaysia.
3Segi University, Sibu, Malaysia.
4Newcastle University Malaysia Campus, Jahore Baru, Malaysia.
*Corresponding Author

Published In:   Volume - 18,      Issue - 1,     Year - 2025


ABSTRACT:
Subdermal contraceptive implants are one method of long-acting reversible contraception. Implanon NXT provides contraception for 3 years, and Jadelle (Levonorgestrel-releasing implant) for 5 years. The implants are easy to remove through a small opening in the skin. In a small proportion of women the implant will not be palpable or, very rarely, may have migrated. Non-palpable and migrated implants can be removed in an outpatient setting, by doctors who are specially trained and have access to ultrasound and special instruments. In this case report authors share their experience using C-arm machine which resulted in successful removal of Implanon non-palpable contraceptive implant that had become misplaced. Subdermal contraceptive implants are one method of long-acting reversible contraception. Implanon NXT provides contraception for 3 years, and Jadelle (Levonorgestrel-releasing implant) for 5 years. The implants are easy to remove through a small opening in the skin. In a small proportion of women the implant will not be palpable or, very rarely, may have migrated. Non-palpable and migrated implants can be removed in an outpatient setting, by doctors who are specially trained and have access to ultrasound and special instruments. In this case report authors share their experience using C-arm machine which resulted in successful removal of Implanon non-palpable contraceptive implant that had become misplaced. A 26-year-old woman was referred to the hospital for lost Implanon after using Implanon as a long-acting contraceptive. GP's attempt to remove it in the clinic was unsuccessful. It appeared to be embedded in the muscle and after taking the X-ray elbow standard view, it was found to be located 15.6 cm from the dorsal surface of the olecranon process. It was successfully removed with the aid of C-arm machine.


Cite this article:
Myat San Yi, Soe Lwin, Khin Than Yee, Mi Mi Khaing, Philip Korah, Tin Moe Nwe, Mon Mon Yee. Evidencing successful experience in removing a lost Implanon using C-arm machine: A case report. Research Journal of Pharmacy and Technology. 2025;18(1):361-4. doi: 10.52711/0974-360X.2025.00056

Cite(Electronic):
Myat San Yi, Soe Lwin, Khin Than Yee, Mi Mi Khaing, Philip Korah, Tin Moe Nwe, Mon Mon Yee. Evidencing successful experience in removing a lost Implanon using C-arm machine: A case report. Research Journal of Pharmacy and Technology. 2025;18(1):361-4. doi: 10.52711/0974-360X.2025.00056   Available on: https://rjptonline.org/AbstractView.aspx?PID=2025-18-1-56


REFERENCE:
1.    Graesslin O, Korver T. The contraceptive efficacy of Implanon®: A review of clinical trials and marketing experience. The European Journal of Contraception and Reproductive Health Care. 2008 Jan 1; 13(sup1):4-12.
2.    Singh M, Mansour D, Richardson D. Location and removal of non-palpable Implanon® implants with the aid of ultrasound guidance. BMJ Sexual & Reproductive Health. 2006 Jul 1; 32(3):153-6.
3.    Carlos-Alves M, Gomes M, Abreu R, et al. BMJ Case Rep 2019; 12: e230987. doi:10.1136/bcr-2019- 230987
4.    Lantz A, Nosher JL, Pasquale S, Siegel RL. Ultrasound characteristics of subdermally implanted Implanon™ contraceptive rods. Contraception. 1997 Nov 1; 56(5): 323-7.
5.    Piessens SG, Palmer DC, Sampson AJ. Ultrasound localisation of non‐palpable Implanon. Australian and New Zealand Journal of Obstetrics and Gynaecology. 2005 Apr; 45(2): 112-6.
6.    James P, Trenery J. Ultrasound localisation and removal of non‐palpable Implanon implants. Australian and New Zealand Journal of Obstetrics and Gynaecology. 2006 Jun; 46(3): 225-8.


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