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Updated: Jun 23, 2026
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Published on: February 28, 2014
Spontaneous intrauterine pregnancy after unilateral placement of tubal occlusive microinsert
Kenan Omurtag1, Samuel Pauli, Donna Session
1Department of Gynecology and Obstetrics, Emory University School of Medicine, 69 Jesse Hill Jr. Drive, Atlanta, GA 30303, USA. komurta@emory.edu
Objective:
To present a case in which the use of a titanium/nickel microinsert in the management of unilateral hydrosalpinx contributed to a spontaneous intrauterine pregnancy.
Design:
Case report.
Setting:
University hospital.
Patient(S):
A 37-year-old nulligravid female with dense pelvic adhesive disease and unilateral hydrosalpinx.
Intervention(S):
Unilateral proximal occlusion of left fallopian tube with titanium/nickel microinsert.
Main Outcome Measure(S):
Pregnancy.
Result(S):
Spontaneous intrauterine pregnancy after confirmation via hysterosalpingogram of left tubal occlusion and right tubal patency.
Conclusion(S):
Transcervical proximal tubal occlusion using titanium/nickel microinserts provides an alternative in the management of hydrosalpinx in the setting of tubal factor infertility. Additionally, in the setting of a unilateral hydrosalpinx, unilateral occlusion can contribute to spontaneous intrauterine pregnancy.
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