[Intraperitoneal migration of Filshie tubal sterilization clips: an uncommon cause of chronic abdominal pain].
Tubal clips for female sterilization account for about 10 to 40% of the contraceptive methods used throughout the world. Clip migration is an unusual complication which may lead to chronic unexplained abdominal pain. We report here the case of a 44-year-old woman who suffered from chronic abdominal pain. The diagnosis of intraperitoneal migration of the Filshie clip fixed five years earlier was made. Cure was achieved with ablation of the clip. Late complications of Filshie clips are uncommon and non-specific. They include tubal necrosis and section, sterilization failure (0.7%), and migration (0.6%). Rare migrations into the bladder, the peritoneum, the appendix, or the vagina have been reported. When investigating chronic abdominal pain in a female patient, the clinician should inquire about sterilization history and carefully examine plain x-rays of the abdomen in women with tubal clips.
Service de Médecine Interne A, Hôpital Saint-Eloi, 80, avenue Augustin Fliche, 34295 Montpellier Cedex 5, France.
Amadou
A
Konaté
Valérie
V
Rauzy
Sandrine
S
Chalon
Patrice
P
Ceballos
Sophie
S
Rivière
Albert-Jean
AJ
Ciurana
Alain
A
Le Quellec
D015746:Abdominal Pain / Q000209:etiology*; D000328:Adult; D002908:Chronic Disease; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D013246:Sterilization, Tubal / Q000295:instrumentation*; D013525:Surgical Instruments; D014057:Tomography, X-Ray Computed