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.