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Computed tomographic confirmation of distally placed Essure* microinsert
Andrea B Palmer1, John C Siegle
1Department of Obstetrics and Gynecology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma 73190, USA. Andrea-Palmer@ouhsc.edu
Computed tomography (CT) reliably confirms Essure microinsert placement when hysteroscopy is unclear. This imaging technique is crucial for ensuring correct positioning and preventing complications in permanent sterilization.
Area of Science:
- Radiology
- Gynecology
Background:
- Permanent sterilization is a common choice for women desiring contraception.
- The Essure microinsert is a hysteroscopically placed device for tubal occlusion.
Observation:
- Hysteroscopic visualization failed to confirm intraluminal placement of the left Essure microinsert in one patient.
- A computed tomography (CT) scan was performed to assess the placement of the device.
Findings:
- The CT scan successfully confirmed intraluminal placement of the Essure microinsert within the fallopian tube.
- CT imaging ruled out any risk of intraperitoneal placement or perforation.
Implications:
- Computed tomography is a valuable tool for confirming Essure microinsert placement when hysteroscopy is inconclusive.
- This imaging modality enhances the safety and reliability of the Essure procedure.
- Further follow-up with hysterosalpingography is still necessary to confirm tissue ingrowth.
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