Bowel perforation after placement of tubal occlusion contraceptive

Obstetrics and Gynecology
Kristin RileyGerald Harkins

Abstract

The tubal occlusion contraceptive provides a hysteroscopic technique for female sterilization. Efficacy of the tubal occlusion contraceptive relies on proper placement within the proximal aspect of the fallopian tubes. As long-term data become available, rates of complications are better defined. This is a case of a patient who underwent placement of a tubal occlusion contraceptive. As a result of persistent pain and nausea, imaging was performed and malposition of the tubal occlusion contraceptive was identified. During laparoscopy, bowel perforation at the terminal ileum was diagnosed. Laparoscopic ileocecectomy was performed. There should be a low threshold for evaluation of complications after tubal occlusion contraceptive placement. Although rare, bowel perforation after placement of the tubal occlusion contraceptive can occur. Laparoscopic management should be considered.

References

May 30, 2003·Human Reproduction·John F KerinCharles S Carignan
May 23, 2007·BJOG : an International Journal of Obstetrics and Gynaecology·M MiñoE Chacon
May 14, 2011·Fertility and Sterility·Jimmy BelotteAmanda F Yancy
Sep 1, 2012·Journal of Minimally Invasive Gynecology·David L HowardJulie L Strickland
Sep 15, 2012·Contraception·Hendrik T J MantelAdrianus P M Stael
Apr 29, 2014·Journal of Minimally Invasive Gynecology·Marisa R AdelmanHoward T Sharp

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