An unusual complication of tubal anastomosis

Marcus W. Jurema, Nikos P. Vlahos

    Research output: Contribution to journalArticle

    Abstract

    Objective: To report an unusual complication associated with the use of a long-term intrafallopian stent during microsurgical tubal anastomosis. Design: Case report. Setting: Tertiary academic center. Patient(s): A 36-year-old woman in whom an intrafallopian stent used during a sterilization reversal procedure could not be transcervically retrieved in the office. Intervention(s): Hysteroscopic evaluation for removal of intrafallopian stent, followed by operative laparoscopy for postoperative abdominal pain. Main Outcome Measure(s): Patient symptoms, potential for morbidity, and review of the literature. Result(s): Hysteroscopic view of the uterine cavity failed to identify the intrafallopian stent. Laporoscopic evaluation of postoperative abdominal pain revealed significant formation of pelvic and abdominal adhesions. The 2-0 nylon suture used as an intrafallopian stent was seen sitting freely on top of the liver serosa. Adhesiolysis and successful retrieval of the stent resolved the patient's symptoms. Conclusion(s): To our knowledge, this is the first report describing complete dislodgment and cephalad migration of an intrafallopian stent. Patient morbidity and health care costs may increase when long-term stents are used for sterilization reversal.

    Original languageEnglish (US)
    Pages (from-to)624-627
    Number of pages4
    JournalFertility and sterility
    Volume79
    Issue number3
    DOIs
    StatePublished - Mar 1 2003

    Keywords

    • Fallopian tube stent
    • Sterilization reversal
    • Tubal anastomosis

    ASJC Scopus subject areas

    • Reproductive Medicine
    • Obstetrics and Gynecology

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