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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
2
|
| pubmed:dateCreated |
1994-6-2
|
| pubmed:keyword |
http://linkedlifedata.com/resource/pubmed/keyword/Americas,
http://linkedlifedata.com/resource/pubmed/keyword/Case Studies,
http://linkedlifedata.com/resource/pubmed/keyword/Contraception,
http://linkedlifedata.com/resource/pubmed/keyword/Contraceptive Implants--complications,
http://linkedlifedata.com/resource/pubmed/keyword/Contraceptive Methods--complications,
http://linkedlifedata.com/resource/pubmed/keyword/Developed Countries,
http://linkedlifedata.com/resource/pubmed/keyword/Examinations And Diagnoses,
http://linkedlifedata.com/resource/pubmed/keyword/Family Planning,
http://linkedlifedata.com/resource/pubmed/keyword/Laboratory Examinations And Diagnoses,
http://linkedlifedata.com/resource/pubmed/keyword/Laboratory Procedures,
http://linkedlifedata.com/resource/pubmed/keyword/North America,
http://linkedlifedata.com/resource/pubmed/keyword/Northern America,
http://linkedlifedata.com/resource/pubmed/keyword/Physical Examinations And Diagnoses,
http://linkedlifedata.com/resource/pubmed/keyword/Studies,
http://linkedlifedata.com/resource/pubmed/keyword/United States
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:month |
Feb
|
| pubmed:issn |
0029-2559
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
55
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
76
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:otherAbstract |
PIP: It is recommended that Norplant manufacturers modify the capsules for easier identification by sonography or fluoroscopy, when capsules cannot be located by palpation and probing. A case study was presented of one woman who asked for removal of the six small Norplant capsules (2.4 mm x 34 mm) that were inserted subdermally, radially in the medial portion of the upper arm, per standard protocol. The obstetrician made a surgical incision and removed easily 5 of the capsules, but could not locate the last one by digital probing. The patient was then referred to a hospital radiology department. The first action taken was a radiograph, which revealed a faint visualization. The second picture was taken with real time sonography, but the capsule could not be visualized. A third action was a computed tomography of multiple thin (3 mm) slices, but again there was no success in locating the missing capsule. The final attempt was to use intermittent fluoroscopy and persistent probing, which revealed the locale and led to successful removal of the last capsule. A test was conducted to see if magnetic resonance imaging would be a useful technique to locate a missing capsule; a Norplant capsule was placed on a water phantom, and T1 and T2 weighted images were obtained, without success in discerning the capsule. It was thought that the capsule was not easily visualized because of soft fissure edema and air left by the earlier incision.
|
| pubmed:meshHeading | |
| pubmed:year |
1994
|
| pubmed:articleTitle |
Difficulty finding and removing a Norplant system capsule.
|
| pubmed:affiliation |
Crist Clinic for Women, Surgical Ambulatory Care Center, Jacksonville 28546.
|
| pubmed:publicationType |
Journal Article
|