Peripheral nerve injury with Nexplanon removal: case report and review of the literature
Abstract Background Implantable devices offer convenient, long-acting, and reversible contraception. Injury to the peripheral nerves and blood vessels have been reported as rare complications of implantation and extraction. Case presentation We present a case of ulnar nerve injury in a 21-year-old w...
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Online Access: | http://link.springer.com/article/10.1186/s40834-018-0070-0 |
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doaj-4a835457d85a47f88d98ce43aaae898f2020-11-25T01:06:48ZengBMCContraception and Reproductive Medicine2055-74262018-10-01311610.1186/s40834-018-0070-0Peripheral nerve injury with Nexplanon removal: case report and review of the literatureRachel Lefebvre0Marianne Hom1Hyuma Leland2Milan Stevanovic3Department of Orthopaedic Surgery, Division of Hand Surgery, University of Southern CaliforniaDepartment of Obstetrics and Gynecology, University of Southern CaliforniaDepartment of Plastic and Reconstructive Surgery, University of Southern CaliforniaDepartment of Orthopaedic Surgery, Division of Hand Surgery, University of Southern CaliforniaAbstract Background Implantable devices offer convenient, long-acting, and reversible contraception. Injury to the peripheral nerves and blood vessels have been reported as rare complications of implantation and extraction. Case presentation We present a case of ulnar nerve injury in a 21-year-old woman from attempted in-office removal of a deeply implanted Nexplanon® device. The injury resulted in an ulnar nerve palsy requiring surgical exploration, neuroma excision, and sural nerve cable grafting. Conclusions In-office attempts to remove contraceptive implants that are deep or have migrated can cause iatrogenic nerve injury. Devices that are non-palpable, deep, or migrated should be imaged before formal surgical exploration and removal. Any patient with neurologic symptoms after placement or after attempted removal requires prompt diagnosis and referral to a peripheral nerve surgeon.http://link.springer.com/article/10.1186/s40834-018-0070-0Contraception complicationsIatrogenic peripheral nerve injuryImplant migrationNeuroma |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Rachel Lefebvre Marianne Hom Hyuma Leland Milan Stevanovic |
spellingShingle |
Rachel Lefebvre Marianne Hom Hyuma Leland Milan Stevanovic Peripheral nerve injury with Nexplanon removal: case report and review of the literature Contraception and Reproductive Medicine Contraception complications Iatrogenic peripheral nerve injury Implant migration Neuroma |
author_facet |
Rachel Lefebvre Marianne Hom Hyuma Leland Milan Stevanovic |
author_sort |
Rachel Lefebvre |
title |
Peripheral nerve injury with Nexplanon removal: case report and review of the literature |
title_short |
Peripheral nerve injury with Nexplanon removal: case report and review of the literature |
title_full |
Peripheral nerve injury with Nexplanon removal: case report and review of the literature |
title_fullStr |
Peripheral nerve injury with Nexplanon removal: case report and review of the literature |
title_full_unstemmed |
Peripheral nerve injury with Nexplanon removal: case report and review of the literature |
title_sort |
peripheral nerve injury with nexplanon removal: case report and review of the literature |
publisher |
BMC |
series |
Contraception and Reproductive Medicine |
issn |
2055-7426 |
publishDate |
2018-10-01 |
description |
Abstract Background Implantable devices offer convenient, long-acting, and reversible contraception. Injury to the peripheral nerves and blood vessels have been reported as rare complications of implantation and extraction. Case presentation We present a case of ulnar nerve injury in a 21-year-old woman from attempted in-office removal of a deeply implanted Nexplanon® device. The injury resulted in an ulnar nerve palsy requiring surgical exploration, neuroma excision, and sural nerve cable grafting. Conclusions In-office attempts to remove contraceptive implants that are deep or have migrated can cause iatrogenic nerve injury. Devices that are non-palpable, deep, or migrated should be imaged before formal surgical exploration and removal. Any patient with neurologic symptoms after placement or after attempted removal requires prompt diagnosis and referral to a peripheral nerve surgeon. |
topic |
Contraception complications Iatrogenic peripheral nerve injury Implant migration Neuroma |
url |
http://link.springer.com/article/10.1186/s40834-018-0070-0 |
work_keys_str_mv |
AT rachellefebvre peripheralnerveinjurywithnexplanonremovalcasereportandreviewoftheliterature AT mariannehom peripheralnerveinjurywithnexplanonremovalcasereportandreviewoftheliterature AT hyumaleland peripheralnerveinjurywithnexplanonremovalcasereportandreviewoftheliterature AT milanstevanovic peripheralnerveinjurywithnexplanonremovalcasereportandreviewoftheliterature |
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