PMC5700782_01
X-ray confirming thin radiopaque foreign body which projects over the anteromedial cortex of the mid left humeral diaphysis.
10.1177_2333794X17738844-fig1.jpg
PMC5700782_01_10.1177_2333794X17738844-fig1.jpg
fig1-2333794X17738844
There was discussion in regard to aborting the procedure and leaving the device in place as there were ongoing concerns for nerve damage, but due to the assistance of plastic surgery the device was safely removed (Figure 1 & 2).
Fluoroscopic image of radiopaque foreign body projecting over the medial cortex of the right humerus
10.1177_2333794X17738844-fig2.jpg
PMC5700782_01_10.1177_2333794X17738844-fig2.jpg
fig2-2333794X17738844
There was discussion in regard to aborting the procedure and leaving the device in place as there were ongoing concerns for nerve damage, but due to the assistance of plastic surgery the device was safely removed (Figure 1 & 2).
PMC5700782_02
Nexplanon broken device.
10.1177_2333794X17738844-fig3.jpg
PMC5700782_02_10.1177_2333794X17738844-fig3.jpg
fig3-2333794X17738844
The pieces were measured for completion and no further fragments were identified (Figure 3).
PMC5700782_03
Nexplanon bent device.
10.1177_2333794X17738844-fig4.jpg
PMC5700782_03_10.1177_2333794X17738844-fig4.jpg
fig4-2333794X17738844
Ultrasound-guided imaging should be used for removal if the device is not accessible on palpation in the clinic (Figure 4).