Fluoroscopy-guided removal of a migrated non-palpable implanon adherent to the ulnar nerve: a case report - Takeaways - MDSpire

Fluoroscopy-guided removal of a migrated non-palpable implanon adherent to the ulnar nerve: a case report

  • By

  • Changsung Han

  • Chungwon Lee

  • May 29, 2026

  • 0 min

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  • 1

    A 33-year-old woman experienced persistent abnormal bleeding 3 years after etonogestrel implant placement, which became non-palpable.

  • 2

    Previous removal attempts failed due to the implant's deep location and migration adjacent to the ulnar nerve.

  • 3

    Ultrasound guidance and hydrodissection were unsuccessful, leading to the use of fluoroscopy for safe extraction.

  • 4

    The implant was successfully removed without complications, and the patient reported resolution of transient tingling sensations.

  • 5

    Fluoroscopy-guided removal is effective for deeply placed implants, emphasizing the need for accurate localization and specialist referral.

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