title: Spontaneous intrauterine pregnancy after unilateral placement of tubal occlusive microinsert.
abstract: 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.
  
  
  METHODS
  Case report.
  
  
  METHODS
  University hospital.
  
  
  METHODS
  A 37-year-old nulligravid female with dense pelvic adhesive disease and unilateral hydrosalpinx.
  
  
  METHODS
  Unilateral proximal occlusion of left fallopian tube with titanium/nickel microinsert.
  
  
  METHODS
  Pregnancy.
  
  
  RESULTS
  Spontaneous intrauterine pregnancy after confirmation via hysterosalpingogram of left tubal occlusion and right tubal patency.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Gynecology and Obstetrics, Emory University School of Medicine, 69 Jesse Hill Jr. Drive, Atlanta, GA 30303, USA. komurta@emory.edu
authors.forename: Kenan
authors.initials: K
authors.lastname: Omurtag
authors.forename: Samuel
authors.initials: S
authors.lastname: Pauli
authors.forename: Donna
authors.initials: D
authors.lastname: Session
mesh_terms: D000328:Adult; D004624:Embryo Transfer; D005184:Fallopian Tube Diseases / Q000150:complications / Q000601:surgery*; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D007231:Infant, Newborn; D009532:Nickel / Q000009:adverse effects; D011247:Pregnancy; D011256:Pregnancy Outcome; D013246:Sterilization, Tubal / Q000009:adverse effects* / Q000379:methods; D014025:Titanium / Q000009:adverse effects
chemical_list: D009532:Nickel; D014025:Titanium