From the Department of Obstetrics and Gynecology, Wayne State University, Detroit, Michigan; and the Detroit Medical Center, Detroit, Michigan.
Obstet Gynecol. 2011 Feb;117(2 Pt 2):461-462. doi: 10.1097/AOG.0b013e3181f73021.
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.
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.
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.
虽然已知镍过敏是美国输卵管内微植入物放置的禁忌症，但本病例表明，镍过敏可能会发生于输卵管内微植入物。
一名年轻女性在放置输卵管内微植入物后出现过敏反应。皮肤斑贴试验证实为镍过敏。通过宫腔镜将微植入物取出，患者症状得到改善。
如果患者在宫腔镜绝育术后出现过敏反应的症状，建议转至过敏专科医生处就诊。如果确诊为镍过敏，应将微植入物取出；该操作可在宫腔镜引导下进行。
