Fahey Meriah
Department of Obstetrics and Gynecology, University of Manitoba, Winnipeg, MB.
J Obstet Gynaecol Can. 2007 Sep;29(9):733-6. doi: 10.1016/s1701-2163(16)32596-8.
A rare complication of tubal ligation, expulsion of tubal clips has been sporadically reported in the literature.
An otherwise well multiparous woman who had undergone two operative deliveries and a tubal ligation presented with menstrual discharge from her laparotomy incision. Following two surgical procedures to excise fistulous tracts, the patient spontaneously expelled three Hulka tubal ligation clips from the vagina.
Migration of tubal ligation clips and extrusion with associated tuboperitoneal fistula is a rare outcome of tubal ligation. Individual patient reactions to the presence of supposedly inert objects in the peritoneal cavity are unpredictable.
