Case Report on Forgotten Vaginal Pessary Leading to Incarceration

A ring vaginal pessary are most commonly used for conservative management of uterine fibroid in frail elderly and patient unfit for surgery. These are safe, easy to apply but needs regular and systematical follow up. Failing this there may be prolonged retention of pessary in vagina leading to wide spectrum of complications ranging from erosion to squamous cell carcinoma. Here we present a case of 65 years postmenopausal women presenting with foul smelling vaginal discharge and bleeding per vaginum raising to suspicion of genital tract malignancy. On examination, she was found to have incarcerated ring vaginal pessary which was removed under iv anaesthesia. Patient was asymptomatic thereafter. Areview of relevent literatures was undertaken and complicatins associated with vaginal pessaries are reviewed.