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Related Concept Videos

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Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...
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Small bowel obstruction subsequent to Essure microinsert sterilization: a case report.

Jimmy Belotte1, Valerie I Shavell, Awoniyi O Awonuga

  • 1Department of Obstetrics and Gynecology, Wayne State University and the Detroit Medical Center, 3990 John R, Mailbox #165, Detroit, Michigan 48201, USA. jbelotte@med.wayne.edu

Fertility and Sterility
|May 14, 2011
PubMed
Summary
This summary is machine-generated.

Small bowel obstruction (SBO) is a rare but serious complication following Essure sterilization. This case highlights the importance of considering Essure device migration when diagnosing SBO in affected patients.

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Area of Science:

  • Gynecology
  • Gastroenterology
  • Surgical Complications

Background:

  • Essure sterilization is a permanent birth control method using microinserts placed in the fallopian tubes.
  • While generally safe, potential complications associated with Essure placement require ongoing monitoring and reporting.

Observation:

  • A 38-year-old woman presented with symptoms of small bowel obstruction (SBO) one month after hysteroscopic Essure sterilization.
  • Symptoms included pelvic pain, vaginal spotting, nausea, vomiting, and constipation.

Findings:

  • Radiologic imaging revealed a distal SBO, with the Essure microinsert located in the left lower pelvis.
  • Laparoscopy confirmed the SBO, adhesions, an inflamed appendix, and the misplaced Essure device. Surgical intervention included lysis of adhesions, device removal, appendectomy, and salpingectomy.

Implications:

  • This case underscores the potential for small bowel obstruction as a complication of Essure microinsert sterilization.
  • Increased awareness among healthcare providers is crucial for timely diagnosis and management of such rare events.
  • Highlights the importance of device migration as a cause of SBO post-Essure placement.