Publication: Neglected doughnut pessary in the uterine cavity
Issued Date
2019-04-01
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ISSN
1757790X
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2-s2.0-85064431676
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Mahidol University
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SCOPUS
Bibliographic Citation
BMJ Case Reports. Vol.12, No.4 (2019)
Suggested Citation
Chutimon Asumpinwong, Pichai Leerasiri, Pattaya Hengrasmee Neglected doughnut pessary in the uterine cavity. BMJ Case Reports. Vol.12, No.4 (2019). doi:10.1136/bcr-2018-228415 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/51741
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Title
Neglected doughnut pessary in the uterine cavity
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Abstract
© 2019 BMJ Publishing Group Limited. No commercial re-use. See rights and permissions. Published by BMJ. Vaginal pessary is a practical and effective tool for pelvic organ prolapse management. Nevertheless, serious complications can occur in neglected patients such as vesicovaginal and rectovaginal fistula, erosion and impaction in adjacent structures. We report a case of neglected pessary found in the uterine cavity. The patient was treated with abdominal hysterectomy with in situ doughnut pessary. Proper pessary care and regular follow-up should be emphasised among patients, caregivers and related healthcare personnel to early detect as well as to avoid complications.