Subserosal misplacement of Essure* device manifested by late-onset acute pelvic pain

Mohamad S. Mahmoud, Dmitry Fridman, Zaher O. Merhi

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Objective: To increase awareness of the potential to present with late-onset acute pelvic pain secondary to subserosal misplacement of an Essure device (Conceptus Inc., Mountain View, CA). Design: Case report. Setting: University-affiliated teaching hospital. Patient(s): A 30-year-old woman who was seen with severe left lower quadrant pain 4 months after elective sterilization with an Essure device placed under local anesthesia. Mild to moderate resistance was encountered in the placement of the device in the left fallopian tube. Intervention(s): Hysterosalpingogram showing patency of the left fallopian tube and operative laparoscopy. Main Outcome Measure(s): Laparoscopic removal of the Essure device with left salpingectomy. Result(s): The patient was free of pain and was discharged home the same day of the laparoscopic procedure. Conclusion(s): This report reinforces the need to consider a misplaced Essure device in the differential diagnosis of late-onset acute pelvic pain in women who had difficult placement of the device.

Original languageEnglish (US)
JournalFertility and Sterility
Volume92
Issue number6
DOIs
StatePublished - Dec 2009
Externally publishedYes

Fingerprint

Pelvic Pain
Acute Pain
Equipment and Supplies
Fallopian Tubes
Salpingectomy
Device Removal
Local Anesthesia
Teaching Hospitals
Laparoscopy
Differential Diagnosis
Outcome Assessment (Health Care)
Pain

Keywords

  • Essure
  • HSG
  • laparoscopy
  • pelvic pain

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Reproductive Medicine

Cite this

Subserosal misplacement of Essure* device manifested by late-onset acute pelvic pain. / Mahmoud, Mohamad S.; Fridman, Dmitry; Merhi, Zaher O.

In: Fertility and Sterility, Vol. 92, No. 6, 12.2009.

Research output: Contribution to journalArticle

Mahmoud, Mohamad S. ; Fridman, Dmitry ; Merhi, Zaher O. / Subserosal misplacement of Essure* device manifested by late-onset acute pelvic pain. In: Fertility and Sterility. 2009 ; Vol. 92, No. 6.
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