title: Computed tomographic confirmation of distally placed Essure* microinsert.
abstract: OBJECTIVE
  To highlight the use of CT scan to confirm proper placement of the Essure microinsert tubal occlusion device.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Community-based, outpatient setting.
  
  
  METHODS
  A 37-year-old woman (G2P2002) who desired permanent sterilization.
  
  
  METHODS
  The patient underwent hysteroscopic placement of Essure microinserts, which was complicated by inability to confirm intraluminal placement of the left implant by hysteroscopic visualization. A CT scan performed that day confirmed intraluminal placement and ruled out intraperitoneal placement of the insert.
  
  
  METHODS
  Confirmation of correct insert placement.
  
  
  RESULTS
  A CT scan confirmed the placement of the Essure insert within the fallopian tube lumen and excluded perforation into the peritoneal cavity.
  
  
  CONCLUSIONS
  Computed tomography is a reliable way to determine whether Essure microinserts are properly placed when this cannot be determined by hysteroscopic visualization. Follow-up hysterosalpingography continues to be required to confirm tissue ingrowth at 3 months' time.
authors.affiliation: Department of Obstetrics and Gynecology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma 73190, USA. Andrea-Palmer@ouhsc.edu
authors.forename: Andrea B
authors.initials: AB
authors.lastname: Palmer
authors.forename: John C
authors.initials: JC
authors.lastname: Siegle
mesh_terms: D000328:Adult; D005260:Female; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging*; D006801:Humans; D007047:Hysterosalpingography / Q000379:methods; D007434:Intrauterine Devices / Q000009:adverse effects; D013245:Sterilization, Reproductive / Q000295:instrumentation / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods