Research and Reports in Gynecology and Obstetrics

Case Report - Research and Reports in Gynecology and Obstetrics (2017) Volume 1, Issue 4

Myometrial Insertion of EssureĀ® Mirco-Insert

Complications arising from hysteroscopically-placed intratubal micro-insert devices are uncommon. Partial and complete perforations occur in approximately 0.9% to 2.6% while movement of the micro-insert device within the abdomen is even more rare. In this case report, the initial placement of the micro-insert device was uncomplicated, but concerns of cornual or fallopian tube perforation were apparent on the confirmation hysterosalpingogram (HSG) when free tubal spill was appreciated. After a succession of hysteroscopic and laparoscopic evaluations, and a final specimen dissection, the micro-insert device was found penetrating superior to the tubal ostia and embedded in the myometrium.

Author(s): Jeffrey J Woo, Barbara E Simpson, Dale W Stovall

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