Forgotten Vaginal Pessary..BARF

Faline · #1 ● 08-14-2011, 04:03 PM

An 80 year old lady presented to the outpatient department with chief complaints of a discharge per vaginum. The discharge was blood stained and foul smelling. On history a provisional diagnosis of carcinoma cervix was made. On per speculum examination a rim of the impacted pessary was seen. It was surrounded by granulation tissue and there was foul smelling discharge. On further interrogation the patient recalled a pessary being inserted 30 years back for uterine prolapse. An examination under anaesthesia was done and the pessary was removed after removing the surrounding granulation tissue. There was slight oozing of blood from the vaginal bed which stopped on pressure packing. She was discharged after a short course of antibiotics and a paps smear was taken a week later. The report of the smear was normal.