Pelvic foreign body


A 35 year-old female came into the ED with diarrhea for several weeks.  She had a story highly suspicious of c.diff and we sent her for an acute abdominal series to evaluate for megacolon, other findings.  Here is her supine view:

As far as megacolon this is negative.  However, the foreign body in her left pelvis region was interesting and we initially had no idea what to make of it.  When in doubt, go ask the patient…

She has an Essure® device implanted into her left fallopian tube.  Not only that, she had an ectopic pregnancy in her past on the right side with a right sided salpingectomy (thus no bilateral Essure®). 

An Essure® device is a small, flexible implant non-surgically placed in the fallopian tube in place of a tubal ligation. 

Didn’t explain her diarrhea though.  She had c.diff.

Author:  Russell Jones, MD.

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  1. The LITFL Review 086 - October 2, 2013

    […] Pelvic foreign body – Good point: when your not sure what something is, doesn’t hurt to ask the patient! […]

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