Bowel perforation after placement of tubal occlusion contraceptive.
BACKGROUND
The tubal occlusion contraceptive provides a hysteroscopic technique for female sterilization. Efficacy of the tubal occlusion contraceptive relies on proper placement within the proximal aspect of the fallopian tubes. As long-term data become available, rates of complications are better defined.


METHODS
This is a case of a patient who underwent placement of a tubal occlusion contraceptive. As a result of persistent pain and nausea, imaging was performed and malposition of the tubal occlusion contraceptive was identified. During laparoscopy, bowel perforation at the terminal ileum was diagnosed. Laparoscopic ileocecectomy was performed.


CONCLUSIONS
There should be a low threshold for evaluation of complications after tubal occlusion contraceptive placement. Although rare, bowel perforation after placement of the tubal occlusion contraceptive can occur. Laparoscopic management should be considered.
Departments of Obstetrics and Gynecology and Surgery, Penn State Hershey Medical Center, Hershey, Pennsylvania.
Kristin
K
Riley
Frans
F
Beltran
David
D
Stewart
Gerald
G
Harkins
D000328:Adult; D003274:Contraceptive Devices, Female / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology* / Q000601:surgery; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery; D013246:Sterilization, Tubal / Q000009:adverse effects / Q000295:instrumentation*