A kink is not always a perforation: assessing Essure hysteroscopic sterilization placement  

Oleh:

Borley, Jane ; Shabajee, Natasha ; Toh, Lick Tan

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 95 no. 07 (Jun. 2011), page 2429.e15-.
Topik: Complication; Essure; hysteroscopic sterilization; tubal perforation

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2011.04 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Objective To highlight the fallacy of using a kink in the microinsert outline on plain abdominal x-ray as a marker for tubal perforation. Design Case report. Setting West London District general hospital. Patient(s) 36-year-old Asian woman requesting permanent sterilization. Intervention(s) Essure hysteroscopic sterilization followed by abdominal x-ray, pelvic ultrasound, and laparoscopy. Main Outcome Measure(s) Absence of tubal perforation. Result(s) A patient presented with clinically suspected fallopian tube perforation 3 days after Essure hysteroscopic sterilization. Her transvaginal scan was inconclusive, but the plain x-ray demonstrated a kink within the left microinsert outline. Diagnostic laparoscopy did not identify a perforation, and bilateral tubal placement was confirmed after salpingectomy. Conclusion(s) This case highlights the difficulty of relying on imaging in the acute setting to establish a diagnosis of tubal perforation after hysteroscopic sterilization.

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