Pelvik İnflamatuar Hastalığa Sebep Olan Sıradışı Bir İhmal Edilmiş Gömülü Peser Olgusu

Pessaries have been the major non-surgical treatment option for pelvic organ prolapse (POP). However, when the devices are not used appropriately, serious complications and deaths may be occurred. A 78 years old, multiparous woman was hospitalized with diagnosis of pelvic inflammatory disease (PID) and embedded neglected pessary. In history, it’s learned that a ring pessary was placed 22 years ago due to POP. After the treatment of PID, the adhesions, between the posterior vaginal wall and cervix, was separated by blind and sharp dissection and pessary was removed without any urinary and bowel complications.In a patient who has neglected pessary with symptoms of fever, pelvic-abdominal pain and other symptoms about urinary and intestinal systems need prompt evaluation, diagnosis and treatment. On the other hand, physicians have to be aware of a neglected pessary and not to omit pelvic examination when an elderly woman, especially if she has dementia.