Subserosal misplacement of Essure device manifested by late-onset acute pelvic pain.

Journal Article

OBJECTIVE: To increase awareness of the potential to present with late-onset acute pelvic pain secondary to subserosal misplacement of an Essure device (Conceptus Inc., Mountain View, CA). DESIGN: Case report. SETTING: University-affiliated teaching hospital. PATIENT(S): A 30-year-old woman who was seen with severe left lower quadrant pain 4 months after elective sterilization with an Essure device placed under local anesthesia. Mild to moderate resistance was encountered in the placement of the device in the left fallopian tube. INTERVENTION(S): Hysterosalpingogram showing patency of the left fallopian tube and operative laparoscopy. MAIN OUTCOME MEASURE(S): Laparoscopic removal of the Essure device with left salpingectomy. RESULT(S): The patient was free of pain and was discharged home the same day of the laparoscopic procedure. CONCLUSION(S): This report reinforces the need to consider a misplaced Essure device in the differential diagnosis of late-onset acute pelvic pain in women who had difficult placement of the device.

Full Text

Duke Authors

Cited Authors

  • Mahmoud, MS; Fridman, D; Merhi, ZO

Published Date

  • December 2009

Published In

Volume / Issue

  • 92 / 6

Start / End Page

  • 2038.e1 - 2038.e3

PubMed ID

  • 19819445

Pubmed Central ID

  • 19819445

Electronic International Standard Serial Number (EISSN)

  • 1556-5653

Digital Object Identifier (DOI)

  • 10.1016/j.fertnstert.2009.07.1677


  • eng

Conference Location

  • United States