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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.

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