title: Small bowel obstruction subsequent to Essure microinsert sterilization: a case report.
abstract: OBJECTIVE
  To report a case of small bowel obstruction (SBO) subsequent to Essure microinsert sterilization.
  
  
  METHODS
  Case report.
  
  
  METHODS
  University teaching hospital.
  
  
  METHODS
  A 38-year-old woman, gravida 1, para 1, with a history of pelvic pain, vaginal spotting, nausea, vomiting, and constipation 1 month after Essure hysteroscopic sterilization.
  
  
  METHODS
  Radiologic investigation, including a computed tomography scan of the abdomen and pelvis, followed by operative laparoscopy.
  
  
  METHODS
  Alleviation of the SBO.
  
  
  RESULTS
  Radiologic investigation suggested a distal SBO, with the left Essure microinsert noted in the left lower pelvis. These findings, including an inflamed appendix, were confirmed at operative laparoscopy. Lysis of adhesions, removal of the Essure microinsert, appendectomy, and left salpingectomy were performed.
  
  
  CONCLUSIONS
  This case is reported to increase awareness that SBO is a potential complication of Essure microinsert placement.
authors.affiliation: Department 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
authors.forename: Jimmy
authors.initials: J
authors.lastname: Belotte
authors.forename: Valerie I
authors.initials: VI
authors.lastname: Shavell
authors.forename: Awoniyi O
authors.initials: AO
authors.lastname: Awonuga
authors.forename: Michael P
authors.initials: MP
authors.lastname: Diamond
authors.forename: Jay M
authors.initials: JM
authors.lastname: Berman
authors.forename: Amanda F
authors.initials: AF
authors.lastname: Yancy
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects*; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D007421:Intestine, Small / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D013246:Sterilization, Tubal / Q000009:adverse effects*