scholarly journals Contraceptive implant migration to the lung

2021 ◽  
pp. 20200216
Author(s):  
Anuj Wali ◽  
Rajdeep Bilkhu ◽  
Victoria Rizzo ◽  
Andrea Bille

A 27-year-old female presented with a ‘missing’ contraceptive implant. Chest imaging demonstrated a 4-cm linear opacity in a subsegmental branch of the pulmonary artery to the left lower lobe consistent with a migrated contraceptive implant. A mini-thoracotomy and arteriotomy was performed. The artery was opened distally to its third division. However, it was not possible to retrieve the implant, and the decision was made to proceed to segmentectomy. After resection, it was noted that the foreign body had significantly endothelialised within the wall of the artery and required sharp dissection for removal. This is the first case report to demonstrate the complete endothelialisation and subsequent difficulty in removal of an embolised contraceptive implant. We hope this report adds to the growing body of literature to guide management of this extremely rare but serious complication.

2019 ◽  
Vol 126 ◽  
pp. 172-180 ◽  
Author(s):  
Edin Hajdarpašić ◽  
Almir Džurlić ◽  
Nevena Mahmutbegović ◽  
Salko Zahirović ◽  
Adi Ahmetspahić ◽  
...  

1986 ◽  
Vol 20 (1) ◽  
pp. 61-65 ◽  
Author(s):  
Cemil Barlas ◽  
Göksel Kalayci ◽  
Ertan Onursal ◽  
Mehmet Ali Bedirhan

2014 ◽  
Vol 13 (1) ◽  
pp. 67-68 ◽  
Author(s):  
Aluizio Augusto Arantes Júnior ◽  
Jose Augusto Malheiros ◽  
Marco Tulio Domingos Silva e Reis ◽  
Gustavo Meyer de Moraes

Ingestion of foreign bodies is a common problem seen at emergency rooms and frequently involves chicken and fish bones. There are few cases of migrated foreign bodies through the retropharynx causing infectious process in the area but no one, despite the proximity, causing spondylodiscitis. Perhaps such condition is attributed to the integrity of the longus colli fascia covering and protecting the cervical spine. We described the first case of spondylodiscitis due to a foreign body (saw-toothed fish bone) that penetrated the longus colli fascia and carved into vertebral body C3.


2021 ◽  
Vol 5 (7) ◽  
Author(s):  
José Antonio Ortiz de Murua ◽  
Laura de la Fuente Blanco ◽  
Alberto Trigo-Bautista ◽  
María José Ruiz-Olgado

Abstract Background We discuss an unusual association: double atrial septum, pulmonary artery aneurysm, and severe regurgitation of multiple valves. Case summary A 70-year-old man was admitted into the hospital because of progressive dyspnoea. Physical examination showed a blood pressure of 132/70 mmHg, a systolic murmur on the right upper sternal border, another systolic murmur at the apex, and a diastolic murmur at the lower left sternal border. Electrocardiogram revealed atrial fibrillation and complete left bundle branch block. Transthoracic echocardiography showed mitral prolapse, severe mitral, aortic, and pulmonary regurgitation, a 60 mm diameter pulmonary artery aneurysm, mild to moderate tricuspid regurgitation, and moderate pulmonary hypertension. Transoesophageal echocardiography also showed an unusual atrial communication consisting of a double atrial septum with a mid-line chamber between both atria. A cardiac magnetic resonance scan was performed and confirmed echocardiography findings and QP:QS ratio = 1.3. Discussion In our knowledge, this is the first case report with this association. We present the main clinical features of the double atrial septum with persistent interatrial space, its echocardiography anatomy, differential diagnosis, and embryology.


2016 ◽  
Vol 130 (10) ◽  
pp. 973-974 ◽  
Author(s):  
U C Megwalu

AbstractBackground:Ingested foreign bodies are common emergencies encountered in otolaryngology practice. The vast majority can be managed with endoscopic removal. Migration of foreign bodies into the paraglottic space is a rare event that often necessitates using a more invasive procedure for removal.Case report:A 68-year-old man presented with sore throat and odynophagia 4 days after ingesting a fish bone.Results:A computed tomography scan revealed a 2.5 cm linear foreign body embedded in the larynx within the right paraglottic space. The patient underwent endoscopic examination and transcervical exploration of the paraglottic space via a posterolateral approach, with successful removal of the foreign body on the second attempt.Conclusion:This is the first case report of an ingested paraglottic space foreign body managed by transcervical exploration using a posterolateral approach to the paraglottic space.


Author(s):  
Richard J Restifo

Abstract Capsular contracture is fundamentally an immunological/inflammatory response to the implant, treating it as a foreign body in need of exclusion from the immune system. The capsule surrounding the implant is populated by a rich variety of immunologically active cells such as macrophages, T lymphocytes, and myofibroblasts. Vaccination in general and the Covid-19 vaccine in particular result in specific and nonspecific activation of the immune system, including those immune cells in proximity to the implant. This phenomenon has been previously demonstrated in delayed inflammatory reactions to previously implanted hyaluronic acid fillers following Covid 19 vaccination. This report is what is believed to be the first case of the rapid development of severe ipsilateral capsular contracture in the immediate aftermath of the second dose of the BNT162b2(Pfizer) vaccine.


2021 ◽  
Vol 7 (3) ◽  
pp. 125
Author(s):  
Wahyu Julianda ◽  
Ade Asyari

Introduction: Foreign body aspiration into the airway is a common case in children. Scarf pin aspiration often occurs in women who wear the hijab. A bronchoscopy is an option in the management of foreign body aspiration cases. However, other treatments such as thoracotomy can be considered, if the management of foreign body aspiration fails using rigid bronchoscopy. Case Report: Reported one case of a 12-year-old girl who complained of inhaling scarf pin 1 day before being admitted to hospital. Chest X-ray found radiopaque foreign body projection as high as spatium intercostal V with right lower lobe projection. The patient was diagnosed with foreign body pin scarf et right bronchus and was treated with a rigid bronchoscopy but it was not successfully extracted, one and a half months later the patient was performed Video-assisted thoracic surgery but failed to re-extract, then the foreign bodies were successfully extracted after the thoracotomy. Conclusion: Migration of pins into the bronchial segments as high as spatium intercostal V projections right lower lobe and left lower lobe will be difficult to locate and extract with rigid bronchoscopy. Thoracotomy is further management for scarf pin aspiration that fails to be treated by rigid bronchoscopy. Keywords: foreign body, scarf pin, bronchoscopy, segment bronchi, thoracotomy


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