title: Hysteroscopic Sterilization Failure Following Post-Procedure Confirmatory Test Indicating Tubal Occlusion.
abstract: BACKGROUND
  Hysteroscopic sterilization procedure has gained traction in the past decade as a means of contraception advertised to be 99.83% effective following successful sterilization coil placement and postprocedure hysterosalpingogram confirmation of proper coil positioning and tubal occlusion.
  
  
  METHODS
  A 44-year-old female underwent a second sterilization procedure after delivering a pregnancy that occurred following a reportedly successful hysteroscopic sterilization procedure and subsequent confirmatory testing demonstrating appropriate sterilization coil placement and tubal occlusion. During the second sterilization procedure, a coil device was visible perforating through the left uterine cornua.
  
  
  CONCLUSIONS
  Following hysteroscopic sterilization, confirmatory testing may demonstrate the appearance of tubal occlusion and proper coil placement when the sterilization devices are incorrectly placed and the fallopian tubes patent.
authors.affiliation: Department of Obstetrics and Gynecology, Madigan Army Medical Center, 9040 Fitzsimmons Drive, Tacoma, WA 98431.
authors.forename: Alison M
authors.initials: AM
authors.lastname: Grajkowski
authors.affiliation: Department of Obstetrics and Gynecology, Madigan Army Medical Center, 9040 Fitzsimmons Drive, Tacoma, WA 98431.
authors.forename: Alison L
authors.initials: AL
authors.lastname: Batig
mesh_terms: D000328:Adult; D003251:Constriction, Pathologic / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D020878:Device Removal; D005184:Fallopian Tube Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005187:Fallopian Tubes / Q000473:pathology*; D005260:Female; D006801:Humans; D007047:Hysterosalpingography; D015907:Hysteroscopy / Q000009:adverse effects*; D007434:Intrauterine Devices / Q000009:adverse effects*; D011183:Postoperative Complications; D011247:Pregnancy; D012086:Reoperation