Computed tomographic confirmation of distally placed Essure* microinsert.

OBJECTIVE

To highlight the use of CT scan to confirm proper placement of the Essure microinsert tubal occlusion device.

DESIGN

Case report.

SETTING

Community-based, outpatient setting.

PATIENT(S): A 37-year-old woman (G2P2002) who desired permanent sterilization.

INTERVENTION(S): The patient underwent hysteroscopic placement of Essure microinserts, which was complicated by inability to confirm intraluminal placement of the left implant by hysteroscopic visualization. A CT scan performed that day confirmed intraluminal placement and ruled out intraperitoneal placement of the insert.

MAIN OUTCOME MEASURE(S): Confirmation of correct insert placement.

RESULT(S): A CT scan confirmed the placement of the Essure insert within the fallopian tube lumen and excluded perforation into the peritoneal cavity.

CONCLUSION(S): Computed tomography is a reliable way to determine whether Essure microinserts are properly placed when this cannot be determined by hysteroscopic visualization. Follow-up hysterosalpingography continues to be required to confirm tissue ingrowth at 3 months' time.