Zain Al-Safi1, Valerie I Shavell, Lon E Katz, Jay M Berman. 1. From the Department of Obstetrics and Gynecology, Wayne State University, Detroit, Michigan; and the Detroit Medical Center, Detroit, Michigan.
Abstract
BACKGROUND: Although known nickel hypersensitivity is a contraindication to intratubal microinsert placement in the United States, this case demonstrates that nickel hypersensitivity to intratubal microinserts can occur. CASE: A young woman developed an allergic reaction after placement of intratubal microinserts. Nickel hypersensitivity was confirmed with skin patch testing. The microinserts were removed hysteroscopically, and the patient improved. CONCLUSION: If a patient experiences symptoms of an allergic reaction after hysteroscopic sterilization, referral to an allergy specialist is recommended. If nickel hypersensitivity is confirmed, the microinserts should be removed; this may be performed under hysteroscopic guidance.
BACKGROUND: Although known nickelhypersensitivity is a contraindication to intratubal microinsert placement in the United States, this case demonstrates that nickelhypersensitivity to intratubal microinserts can occur. CASE: A young woman developed an allergic reaction after placement of intratubal microinserts. Nickelhypersensitivity was confirmed with skin patch testing. The microinserts were removed hysteroscopically, and the patient improved. CONCLUSION: If a patient experiences symptoms of an allergic reaction after hysteroscopic sterilization, referral to an allergy specialist is recommended. If nickelhypersensitivity is confirmed, the microinserts should be removed; this may be performed under hysteroscopic guidance.