Jimmy Belotte, M. D. , Valerie I. Shavell, M. D. , Awoniyi O

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Small bowel obstruction subsequent to Essure microinsert sterilization: a case report  Jimmy Belotte, M.D., Valerie I. Shavell, M.D., Awoniyi O. Awonuga, M.D., Michael P. Diamond, M.D., Jay M. Berman, M.D., Amanda F. Yancy, M.D.  Fertility and Sterility  Volume 96, Issue 1, Pages e4-e6 (July 2011) DOI: 10.1016/j.fertnstert.2011.04.055 Copyright © 2011 American Society for Reproductive Medicine Terms and Conditions

Figure 1 Hysteroscopic images showing Essure microinsert coils trailing in the uterine cavity after placement. (A) Five coils visualized at the left ostia. (B) Two coils visualized at the right ostia. Fertility and Sterility 2011 96, e4-e6DOI: (10.1016/j.fertnstert.2011.04.055) Copyright © 2011 American Society for Reproductive Medicine Terms and Conditions

Figure 2 Abdominal x-ray showing a correctly placed Essure device on the right side of the pelvis (bottom arrow) and dilated bowel loops consistent small bowel obstruction (top arrow). Fertility and Sterility 2011 96, e4-e6DOI: (10.1016/j.fertnstert.2011.04.055) Copyright © 2011 American Society for Reproductive Medicine Terms and Conditions

Figure 3 Computed tomography scan of the abdomen and pelvis demonstrating that the left microinsert has migrated into the peritoneal cavity (arrow). Fertility and Sterility 2011 96, e4-e6DOI: (10.1016/j.fertnstert.2011.04.055) Copyright © 2011 American Society for Reproductive Medicine Terms and Conditions

Figure 4 Laparoscopic image of the appendix with the microinsert at the distal end. A loop of small bowel with its mesentery is seen at the base of the appendix (arrow). Fertility and Sterility 2011 96, e4-e6DOI: (10.1016/j.fertnstert.2011.04.055) Copyright © 2011 American Society for Reproductive Medicine Terms and Conditions