Small bowel obstruction and perforation after Essure sterilization: a case report
Mantel, H.T.J.; Wijma, J.; Stael, A.P.M.
Contraception 87(1): 121-123
2013
ISSN/ISBN: 0010-7824 PMID: 22974596 DOI: 10.1016/j.contraception.2012.07.007Document Number: 572689
We present a rare but serious complication of Essure microinsert sterilization. Case report. A 42-year-old woman presented with nausea, vomiting, abdominal pain and abdominal distension 1 month after uncomplicated Essure sterilization. Abdominal X-ray showed small bowel obstruction. At subsequent laparotomy, a stretched Essure device was found ensnaring the terminal ileum. It had caused strangulation and local perforation of the bowel wall. The device was removed and an ileocecal resection with side-to-side ileocolostomy was performed. In retrospect, the aberrant location of the right Essure device near the ileocecal junction was noticed on the abdominal X-ray. This case illustrates that perforation of an Essure device can result in a serious complication leading to ileocecal resection. An abdominal X-ray with specific attention to the correct location of the Essure coils is advisable for patients presenting with small bowel obstruction after Essure sterilization.
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