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Migration of a Hodge pessary into the abdominal cavity; a rare complications
Author(s) -
Lim Boon K.,
Collaris Ronald R. J.
Publication year - 2008
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2008.00786.x
Subject(s) - pessary , medicine , laparotomy , surgery , complication , fistula , hysterectomy , abdominal cavity , radiation therapy , abdominal hysterectomy , general surgery
A 62‐year old para 4 with a history of a radical hysterectomy followed by radiotherapy for endometrial carcinoma was seen shortly after insertion of a pessary for a total vault prolapse. On follow‐up the pessary couldn't be retrieved. An abdominal X‐ray revealed the pessary in the abdominal cavity and it had to be removed by means of a laparotomy. Fistula and defects have been reported both in longstanding pessary use and as long‐term complication in radical surgery with radiotherapy. In view of potential – though rare – serious complications, adequate follow‐up in pessary use is therefore mandatory. Adequate diagnostic investigations are essential in deciding on an appropriate approach for rare cases like these.