title: Small bowel obstruction and perforation after Essure sterilization: a case report.
abstract: BACKGROUND
  We present a rare but serious complication of Essure microinsert sterilization.
  
  
  METHODS
  Case report.
  
  
  RESULTS
  A 42-year-old woman presented with nausea, vomiting, abdominal pain and abdominal distension 1 month after uncomplicated Essure sterilization. Abdominal X-ray showed small bowel obstruction. At subsequent laparotomy, a stretched Essure device was found ensnaring the terminal ileum. It had caused strangulation and local perforation of the bowel wall. The device was removed and an ileocecal resection with side-to-side ileocolostomy was performed. In retrospect, the aberrant location of the right Essure device near the ileocecal junction was noticed on the abdominal X-ray.
  
  
  CONCLUSIONS
  This case illustrates that perforation of an Essure device can result in a serious complication leading to ileocecal resection. An abdominal X-ray with specific attention to the correct location of the Essure coils is advisable for patients presenting with small bowel obstruction after Essure sterilization.
authors.affiliation: Department of Surgery, Martini Hospital Groningen, 9728 NT Groningen, The Netherlands.
authors.forename: Hendrik T J
authors.initials: HT
authors.lastname: Mantel
authors.forename: Jacobus
authors.initials: J
authors.lastname: Wijma
authors.forename: Adrianus P M
authors.initials: AP
authors.lastname: Stael
mesh_terms: D000328:Adult; D002429:Cecal Diseases / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology* / Q000601:surgery; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery; D011475:Prosthesis Failure / Q000009:adverse effects*; D013245:Sterilization, Reproductive / Q000009:adverse effects*