Essure sterilization device

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Recent sterilization procedure performed.

Patient Data

Age: 35 years
Gender: Female
x-ray

Metallic linear densities project in the pelvis.

Case Discussion

Essure device (Conceptus Inc) is a permanent birth-control device. The micro-inserts are composed of metallic elements that can be seen on plain film, CT, ultrasound, and MRI. This device is inserted into the fallopian tubes by a catheter via the transcervical route. It contains inner polyethylene terephthalate fibers to induce a benign fibrotic reaction and is held in place by a flexible stainless steel inner coil and a dynamic outer nickel-titanium alloy coil. 

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