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We experienced a patient who underwent an extraction of a foreign matter by transsphincteral topical excision (York-Mason method), an operation considering the QOL of early lower rectal cancer. The foreign matter resulted from aberration and implantation of an ebonite pessary into the posterior wall of the vagina, which was inserted into the vagina for treatment of prolapse of the uterus. An 82-year-old woman who was admitted to the hospital because of genital bleeding at defecation. With simple abdominal X-ray, CT and MRI, it was diagnosed as the foreign matter of an ebonite ring pessary 8cm in diameter aberrated into the posterior wall of the vagina, which was inserted for conservative treatment of prolapse of the uterus 15years before. Intravaginal observation disclosed that, although 1/3 of the foreign matter was identified, 2/3 was aberrated and implanted into the posterior wall of the vagina. Considering the age and the operative invasion, the posterior wall of the rectum was incised at the jack-knife position by the York-Mason method under spinal anesthesia. The cranial edge of the foreign matter was identified by palpation. The anterior wall of the rectum at this site was incised under direct vision, and the cranial edge of the aberrant foreign matter was cut off. After closure of the wound with suture, the caudal edge of the foreign matter was cut in two parts and extracted transvaginally.

A CASE OF VAGINAL FOREIGN BODY MATTER EXTRACTED BY TRANSSPHINCTERAL TOPICAL EXCISION