Kenan Omurtag1, Samuel Pauli, Donna Session. 1. Department of Gynecology and Obstetrics, Emory University School of Medicine, 69 Jesse Hill Jr. Drive, Atlanta, GA 30303, USA. komurta@emory.edu
Abstract
OBJECTIVE: To present a case in which the use of a titanium/nickel microinsert in the management of unilateral hydrosalpinx contributed to a spontaneous intrauterine pregnancy. DESIGN: Case report. SETTING: University hospital. PATIENT(S): A 37-year-old nulligravid female with dense pelvic adhesive disease and unilateral hydrosalpinx. INTERVENTION(S): Unilateral proximal occlusion of left fallopian tube with titanium/nickel microinsert. MAIN OUTCOME MEASURE(S): Pregnancy. RESULT(S): Spontaneous intrauterine pregnancy after confirmation via hysterosalpingogram of left tubal occlusion and right tubal patency. CONCLUSION(S): Transcervical proximal tubal occlusion using titanium/nickel microinserts provides an alternative in the management of hydrosalpinx in the setting of tubal factor infertility. Additionally, in the setting of a unilateral hydrosalpinx, unilateral occlusion can contribute to spontaneous intrauterine pregnancy.
OBJECTIVE: To present a case in which the use of a titanium/nickel microinsert in the management of unilateral hydrosalpinx contributed to a spontaneous intrauterine pregnancy. DESIGN: Case report. SETTING: University hospital. PATIENT(S): A 37-year-old nulligravid female with dense pelvic adhesive disease and unilateral hydrosalpinx. INTERVENTION(S): Unilateral proximal occlusion of left fallopian tube with titanium/nickel microinsert. MAIN OUTCOME MEASURE(S): Pregnancy. RESULT(S): Spontaneous intrauterine pregnancy after confirmation via hysterosalpingogram of left tubal occlusion and right tubal patency. CONCLUSION(S): Transcervical proximal tubal occlusion using titanium/nickel microinserts provides an alternative in the management of hydrosalpinx in the setting of tubal factor infertility. Additionally, in the setting of a unilateral hydrosalpinx, unilateral occlusion can contribute to spontaneous intrauterine pregnancy.
Authors: Kenan Omurtag; Natalia M Grindler; Kimberly A Roehl; Gordon Wright Bates; Angeline N Beltsos; Randall R Odem; Emily S Jungheim Journal: Fertil Steril Date: 2012-03-09 Impact factor: 7.329