Impaction After Partial Expulsion of a Neglected Pessary
| Autor: | Thierry Van den Bosch, Jan Deprest, Judith Berger |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Aged
80 and over Pessary medicine.medical_specialty Pelvic organ Obstetrics business.industry Impaction Cutaneous Fistula Obstetrics and Gynecology Rectum Pessaries Perineum Surgery Equipment failure medicine.anatomical_structure Uterine Prolapse Pessary care medicine Humans Patient Compliance Equipment Failure Female business Patient compliance |
| Zdroj: | Obstetrics & Gynecology. 114:468-470 |
| ISSN: | 0029-7844 |
| DOI: | 10.1097/aog.0b013e31819fd51d |
| Popis: | Background Vaginal pessaries are effective for treating pelvic organ prolapse, and severe complications are rare. We describe an exceptional case of pessary impaction with partial expulsion. Case An elderly woman had mild discomfort from a pessary protruding through the perineal skin. The pessary was cut, removed, and the perineum healed uneventfully. Conclusion Negligence of vaginal pessaries may result in migration to the bladder or to the rectum. This case of perineal expulsion was eventually easily treated. Although no evidence-based guidelines for pessary care exist, this rare manifestation suggests the need for follow-up on a regular basis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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