Case Report
Rectovaginal Fistula Secondary to an Erosive Pessary: Case Presentation and Literature Review
| Ozuner G* and Elagili F | |
| Department of Colorectal Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland/OH, USA | |
| Corresponding Author : | Gokhan Ozuner Department of Colorectal Surgery Digestive Disease Institute, Cleveland Clinic 9500 Euclid Ave. A30, Cleveland OH 44195, USA Tel: (216)444-6672 Fax: (216)445-8627 E-mail: ozunerg@ccf.org |
| Received February 09, 2014; Accepted June 27, 2014; Published June 29, 2014 | |
| Citation: Ozuner G, Elagili F (2014) Rectovaginal Fistula Secondary to an Erosive Pessary: Case Presentation and Literature Review. J Pain Relief 3:150. doi: 10.4172/2167-0846.1000150 | |
| Copyright: © 2014 Ozuner and Elagili. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited | |
Abstract
Purpose: Complications of misuse and neglect of pessaries and treatment is discussed. The vaginal pessary is a useful tool for the management of a number of urogynecologic conditions. Although, the pessary is a safe device, it is still a foreign body and complications may occur. Serious complications are rare but can be difficult to manage. Case: An unusual case of a rectovaginal fistula secondary to pessary erosion is reported. This is the seventh reported case of an isolated rectovaginal fistula from a pessary. Conclusion: Indications and results of misuse and neglect of pessaries are discussed. Clinicians should be aware of such complications and appropriate precautions should be undertaken to prevent potential problems.
