Vaginal Evisceration During Pessary Fitting and Treatment With Immediate Colpocleisis

@article{Rubin2010VaginalED,
  title={Vaginal Evisceration During Pessary Fitting and Treatment With Immediate Colpocleisis},
  author={Rachel S. Rubin and Keisha A. Jones and Ozgur H. Harmanli},
  journal={Obstetrics \& Gynecology},
  year={2010},
  volume={116},
  pages={496-498}
}
BACKGROUND: Complications from pessaries are rare and occur predominantly as a result of neglect and loss to follow-up. We report a case of vaginal evisceration at the time of pessary insertion, which was repaired with concomitant colpocleisis. CASE: An 82-year-old woman with stage IV pelvic organ prolapse (POP) presented for a routine pessary fitting, which resulted in vaginal evisceration and displacement of the pessary into the abdomen. She was treated successfully with immediate… 
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Combined temporary gastrointestinal diversion, RVF closure and POP therapy can be performed as a two- or three-stage approach for rectovaginal fistulas due to pessary perforation.
Rectovaginal Fistula in Women With Pessary for Pelvic Organ Prolapse: A Case Series and Literature Review
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Although the pessary is commonly indicated for the conservative treatment of pelvic organ prolapse, this device is not exempt from generating complications.
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Transvaginal evisceration is a rare occurrence but it is considered to require urgent surgery because of potential complications associated with peritoneal contamination or necrosis and the surgical approach depends on the physical findings and the associated medical conditions.
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TLDR
In conclusion the unique case, which is presented here, demonstrates an unusual presentation of colonic carcinoma and the use of imaging before surgery identified a communication between the colon and ovary and allowed for accurate preparation and planning of the surgical procedure.
A Small Bowel Prolapse through Ruptured Vaginal Vault Secondary to Infiltration of a Malignant Tumour in the Region
TLDR
The histology report of the tissue from vaginal vault sent during previous transvaginal vault support and posterior vaginal wall repair is reported as ‘highly suspicious for infiltration of a malignant tumour’ in the region.
Pessary care: follow up and management of complications.
TLDR
Clinical recommendations and evidence related to pessary management of vaginal support pessaries are summarized.
Patterns of Pessary Care and Outcomes for Medicare Beneficiaries With Pelvic Organ Prolapse
TLDR
Pessary can be effectively used for the management of POP in older women despite a low percentage of Medicare beneficiaries undergo pessary fitting, and lack of continuity of care is associated with a small but unacceptable rate of vaginal fistulas.
Retained Viable Single Intrauterine Pregnancy After Vacuum Aspiration for a Dichorionic–Diamniotic Twin Pregnancy
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There is a role for postoperative ultrasonography in complicated cases such as twin gestations or in very early pregnancies to avoid retained products of conception or the infrequent case of retained viable intrauterine pregnancy.
Intestinal Loop Evisceration after Vaginal Cuff Dehiscence: A Case Report and Review
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A 94-year-old patient who debuted with vaginal evisceration after vaginal cuff dehiscence is presented, associated with prolonged use of pessary as a treatment for vaginal cuff prolapse and enterocele, after laparotomic hysterectomy.
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