Contraceptive implant in upper arm

Case contributed by Nidhi Vaidya
Diagnosis certain

Presentation

Teenage female who presented to ED after forgetting about her contraceptive implant.

Patient Data

Age: Teen
Gender: Female

XR Upper Extremity

x-ray

Radiograph of the upper extremity demonstrates a contraceptive implant. The device is linear and ~4 cm in a subdermal location. It is visible due to the barium sulfate added to its core.

Image Contributed by Dr. Soni Chawla of Olive View - UCLA

Case Discussion

The patient stated that she previously had Nexplanon placed about a year ago and had forgotten about the implant. Came to the ER to have it evaluated.

There are two brands of long acting reversible implantable contraception currently available: Nexplanon and Implanon (latter discontinued in the USA). Implanon is not radiopaque.

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