Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Feb;73(1):92-95.
doi: 10.1007/s13224-021-01543-5. Epub 2021 Oct 5.

Common Medical Devices with Uncommon Complications

Kiran Guleria  1 , Bindiya Gupta  1 , Bhawna Agarwal  2 , N B Vaid  3
Affiliations

Common Medical Devices with Uncommon Complications

Kiran Guleria et al. J Obstet Gynaecol India. 2023 Feb.

Abstract

Medical devices and materials commonly used in management of common gynecological conditions or during surgical procedures may present with acute or chronic complications due to incorrect application, improper use and lack of follow up. We present two interesting cases highlighting this problem. A strong index of suspicion is very crucial in early diagnosis and successful management.

Keywords: Gossypiboma; Medical devices; Rectovaginal fistula; Vaginal pessary.

PubMed Disclaimer

Conflict of interest statement

Conflict of interestAuthors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Plastic ring pessary seen in antero-posterior position, posteriorly buried under the vaginal mucosa
Fig. 2
Fig. 2
Intraoperative procedure and findings for pessary removal. a Ring pessary cut and removed. b Cut ring pessary. c Rectovaginal fistula was seen one cm from introitus with healthy margins
Fig. 3
Fig. 3
Healed Rectovaginal fistula after application of estrogen cream
Fig. 4
Fig. 4
MRI image showing an elongated tubular structure in lower part of uterine cavity
Fig. 5
Fig. 5
Intraoperative findings in management of textiloma. a Double-folded mesh-like white structure in lower uterine segment on hysteroscopy. b Mesh-like structure seen in the lower uterine segment after separating the bladder. c Removed silicon sheet
See this image and copyright information in PMC

References

    1. Anderson J, Paterek E. Vaginal foreign body evaluation and treatment. 2021 May 19. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021. - PubMed
    1. Abdulaziz M, Stothers L, Lazare D, Macnab A. An integrative review and severity classification of complications related to pessary use in the treatment of female pelvic organ prolapse. Can Urol Assoc J. 2015;9(5–6):E400–6. doi: 10.5489/cuaj.2783. - DOI - PMC - PubMed
    1. Gordon G, Dolnicek T, Malviya V. A problematic peril of pessaries: the rare case of rectovaginal fistulas resulting from pessary use. JCGO. 2015;4(1):193–196.
    1. Cichowski S. Rogers RG (2013) Nonsurgical management of a rectovaginal fistula caused by a Gellhorn pessary. Obstet Gynecol. 2013;122(2 Pt 2):446–449. doi: 10.1097/AOG.0b013e31828aec98. - DOI - PubMed
    1. Sonarkar R, Wilkinson R, Nazar Z, Gajendra G, Sonawane S. Textiloma presenting as a lump in abdomen: a case report. Int J Surg Case Rep. 2020;2020(77):206–209. doi: 10.1016/j.ijscr.2020.10.081. - DOI - PMC - PubMed

LinkOut - more resources