Migration of a Hodge pessary into the abdominal cavity; a rare complications
A 62‐year old para 4 with a history of a radical hysterectomy followed by radiotherapy for endometrial carcinoma was seen shortly after insertion of a pessary for a total vault prolapse. On follow‐up the pessary couldn't be retrieved. An abdominal X‐ray revealed the pessary in the abdominal cav...
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| Veröffentlicht in: | The journal of obstetrics and gynaecology research 2008-06, Vol.34 (3), p.436-438 |
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| container_title | The journal of obstetrics and gynaecology research |
| container_volume | 34 |
| creator | Lim, Boon K. Collaris, Ronald R. J. |
| description | A 62‐year old para 4 with a history of a radical hysterectomy followed by radiotherapy for endometrial carcinoma was seen shortly after insertion of a pessary for a total vault prolapse. On follow‐up the pessary couldn't be retrieved. An abdominal X‐ray revealed the pessary in the abdominal cavity and it had to be removed by means of a laparotomy. Fistula and defects have been reported both in longstanding pessary use and as long‐term complication in radical surgery with radiotherapy. In view of potential – though rare – serious complications, adequate follow‐up in pessary use is therefore mandatory. Adequate diagnostic investigations are essential in deciding on an appropriate approach for rare cases like these. |
| doi_str_mv | 10.1111/j.1447-0756.2008.00786.x |
| format | Article |
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J.</creatorcontrib><title>Migration of a Hodge pessary into the abdominal cavity; a rare complications</title><title>The journal of obstetrics and gynaecology research</title><addtitle>J Obstet Gynaecol Res</addtitle><description>A 62‐year old para 4 with a history of a radical hysterectomy followed by radiotherapy for endometrial carcinoma was seen shortly after insertion of a pessary for a total vault prolapse. On follow‐up the pessary couldn't be retrieved. An abdominal X‐ray revealed the pessary in the abdominal cavity and it had to be removed by means of a laparotomy. Fistula and defects have been reported both in longstanding pessary use and as long‐term complication in radical surgery with radiotherapy. In view of potential – though rare – serious complications, adequate follow‐up in pessary use is therefore mandatory. Adequate diagnostic investigations are essential in deciding on an appropriate approach for rare cases like these.</description><subject>Abdominal Cavity - diagnostic imaging</subject><subject>complication</subject><subject>endometrial cancer</subject><subject>Endometrial Neoplasms - radiotherapy</subject><subject>Endometrial Neoplasms - surgery</subject><subject>Female</subject><subject>Foreign-Body Migration - diagnosis</subject><subject>Foreign-Body Migration - diagnostic imaging</subject><subject>Foreign-Body Migration - surgery</subject><subject>Humans</subject><subject>Hysterectomy</subject><subject>Middle Aged</subject><subject>Pessaries</subject><subject>pessary</subject><subject>radical hysterectomy</subject><subject>radiotherapy</subject><subject>Tomography, X-Ray Computed</subject><subject>Uterine Prolapse - therapy</subject><issn>1341-8076</issn><issn>1447-0756</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkEFPwjAUxxujEUS_gunJ22a7la6NXgxR0GC4cG-69Q1LNjrXofDt7YDo1Xd5L-nv_V_6QwhTEtNQ9-uYMpZFJBvzOCFExIRkgse7MzT8fTgPc8poJEjGB-jK-zUhNJNUXKIBFWMheJIM0fzdrlrdWbfBrsQaz5xZAW7Ae93usd10DncfgHVuXG03usKF_rLd_iGgrW4BF65uKlscEvw1uih15eHm1Edo-fK8nMyi-WL6OnmaRwWjkkd5aqQ0OmeSJIRJw3QpjWQpJGnGci5AZkSUUCYlAWYk14WERMhUaMgpk-kI3R1jm9Z9bsF3qra-gKrSG3Bbr7hMuJQ0DaA4gkXrvG-hVE1r6_AxRYnqRaq16n2p3pfqRaqDSLULq7enG9u8BvO3eDIXgMcj8G0r2P87WL0tpmFIfwDCrYFV</recordid><startdate>200806</startdate><enddate>200806</enddate><creator>Lim, Boon K.</creator><creator>Collaris, Ronald R. 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| ispartof | The journal of obstetrics and gynaecology research, 2008-06, Vol.34 (3), p.436-438 |
| issn | 1341-8076 1447-0756 |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Abdominal Cavity - diagnostic imaging complication endometrial cancer Endometrial Neoplasms - radiotherapy Endometrial Neoplasms - surgery Female Foreign-Body Migration - diagnosis Foreign-Body Migration - diagnostic imaging Foreign-Body Migration - surgery Humans Hysterectomy Middle Aged Pessaries pessary radical hysterectomy radiotherapy Tomography, X-Ray Computed Uterine Prolapse - therapy |
| title | Migration of a Hodge pessary into the abdominal cavity; a rare complications |
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