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Neglected doughnut pessary in the uterine cavity
  1. Chutimon Asumpinwong,
  2. Pichai Leerasiri and
  3. Pattaya Hengrasmee
  1. Department of Obstetrics and Gynaecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
  1. Correspondence to Dr Chutimon Asumpinwong, chutata{at}


Vaginal pessary is a practical and effective tool for pelvic organ prolapse management. Nevertheless, serious complications can occur in neglected patients such as vesicovaginal and rectovaginal fistula, erosion and impaction in adjacent structures. We report a case of neglected pessary found in the uterine cavity. The patient was treated with abdominal hysterectomy with in situ doughnut pessary. Proper pessary care and regular follow-up should be emphasised among patients, caregivers and related healthcare personnel to early detect as well as to avoid complications.

  • obstetrics and gynaecology
  • infectious diseases

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  • Contributors CA: conception and design, acquisition of data or analysis and interpretation of data/drafting the article or revising it critically for important intellectual content. PL: final approval of the version published. PH: agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.