Interest of 3D ultrasound in the follow-up of tubal sterilizations: case report of a rare tubal perforation
Peultier, A-S.; Cazenave, N.; Lopès, P.; Le Vaillant, C.
Gynecologie Obstetrique and Fertilite 41(4): 262-264
2013
ISSN/ISBN: 1297-9589 PMID: 23566683 DOI: 10.1016/j.gyobfe.2012.12.003Document Number: 354731
The Essure™ system's effectiveness is based on the follow-up at three months. The challenge is to find a minimally invasive imaging technique to locate the devices. Therefore, many authors recommend three-dimensional ultrasound in first-line. We report here an exceptional case of tubal perforation for which ultrasound failed to diagnose. Until then, only three cases have been reported in the literature, noting the difficulty to diagnose this complication. Indeed, although ultrasound is described as reliable, reproducible and non-radiating, it is a dynamic examination, operator dependent, exposing to the risk of misinterpretation.
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