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International Journal of Gynecology & Clinical Practices Volume 3 (2016), Article ID 3:IJGCP-122, 2 pages
http://dx.doi.org/10.15344/2394-4986/2016/122
Case Report
Neglected Pessary Perforating Small Bowel: A Case Report

Thuraya Al-Badr1, Lubna Al-Badr1 and Ahmed Al-Badr2*

1College of Medicine, AlFaisal University, Riyadh, Kingdom of Saudi Arabia
2Department of Urogynecology and Pelvic Reconstructive Surgery, Women's Specialized Hospital, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia
Dr. Ahmed Al-Badr, Department of Urogynecology and Pelvic Reconstructive Surgery, Women's Specialized Hospital, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia; E-mail: aalbadr@kfmc.med.sa
12 June 2016; 12 October 2016; 14 October 2016
Al-Badr T, Al-Badr L, Al-Badr A (2016) Neglected Pessary Perforating Small Bowel: A Case Report. Int J Gynecol Clin Pract 3: 122. doi: http://dx.doi.org/10.15344/2394-4986/2016/122

Abstract

Pessaries are commonly used to treat pelvic organ prolapse. Although the success rate is usually high, complications may arise if neglected for a long time. There is a general lack of literature regarding pessary use, and specifically related to pessary complications. This is the first case report of a pessary-related complication in Saudi Arabia, as well as the first report of a pessary perforating the small bowel. In our patient, the pessary had been neglected for 20 years, leading to the perforation of the small bladder and the formation of a fistula. Pessary was successfully removed and fistula corrected. Recommendations to avoid such complications include maintenance of pessary and routine follow-up with a physician. Although such complications have been declining in recent years due to increased awareness, it is important that practitioners are reminded that complications still may occur.