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. 2018 Jul 12;91(1090):20170686. doi: 10.1259/bjr.20170686

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© 2018 The Authors. Published by the British Institute of Radiology

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Figure 11. — A 41-year-old female presenting with fever and iliac fossa pain, a month after a difficult Essure placement procedure. (a) Anteroposterior pelvic radiography showing asymmetrical inserts. (b) Lateral pelvic radiography showing an anterior position of the left implant (arrow). (c) Transvaginal-ultrasound image: transverse section of the uterus (star) showing a collection (arrowhead) centered around the left insert (arrow) in the peritoneal cavity. Laparoscopic surgery confirmed the extrusion of the left insert which was positioned in the omentum.