Forgotten vaginal pessary eroding into rectum.
Vaginal pessaries still have a role in the management of uterine prolapse, particularly in elderly patients. However, they are known to cause serious complications if proper care is not taken. We present a case of a rectovaginal fistula, developing secondary to a forgotten vaginal pessary. The shelf pessary was found to have eroded through into the rectum. A review of the relevant literature was undertaken and complications associated with vaginal pessaries are discussed.
Hanavadi
S
S
Department of Surgery, Queen Elizabeth Hospital, Woolwich, London, UK.
Durham-Hall
A
A
Oke
T
T
Aston
N
N
D000369:Aged, 80 and over; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications*; D006801:Humans; D010570:Pessaries / Q000009:adverse effects*; D012006:Rectovaginal Fistula / Q000209:etiology*; D012007:Rectum; D014596:Uterine Prolapse / Q000628:therapy*