Ghanbari Zinat, Deldar-Pesikhani Maryam, Eftekhar Tahereh, Pourali Leila, Vatanchi Atiyeh, Darvish Soudabeh, Ayati Elnaz
Department of Obstetrics and Gynecology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
J Family Reprod Health. 2019 Sep;13(3):173-175.
To report the neglected pessary in a patient with pelvic organ prolapse. Pelvic organ prolapse (POP) is one of the most important medical challenges in women especially elderly. One of the conservative treatments of symptomatic POP is pessary placement. A 84-year-old woman, para 10 was referred to female pelvic floor clinic of an academic hospital for vaginal bleeding and neglected vaginal pessary. Vaginal examination in the pelvic floor clinic revealed an entrapped ring pessary in severely atrophic vaginal mucosa with purulent discharge. Although pessary is the first choice and one of the best conservative treatment for pelvic organ prolapse, it shouldn't be used for poor cooperative patient who cannot comply with regular follow-up visits which may cause harmful complications.
报告一例盆腔器官脱垂患者中被忽视的子宫托情况。盆腔器官脱垂（POP）是女性尤其是老年女性面临的最重要的医学挑战之一。有症状的POP的保守治疗方法之一是放置子宫托。一名84岁、孕产史10次的女性因阴道出血和被忽视的阴道子宫托被转诊至一家学术医院的女性盆底诊所。盆底诊所的阴道检查发现一个环形子宫托嵌顿在严重萎缩的阴道黏膜中，并伴有脓性分泌物。尽管子宫托是盆腔器官脱垂的首选且是最佳保守治疗方法之一，但对于不能配合定期随访的患者不应使用，因为这可能会导致有害并发症。
