Vaginal ring pessary

Case contributed by Dr Dalia Ibrahim

Presentation

Abdominal pain. Past history of hysterectomy 7 years ago for uterine fibroids. Incidental finding on CT abdomen and pelvis.

Patient Data

Age: 50 year-old
Gender: Female
CT

Vaginal ring pessary.

Tiny left lower calyceal renal gravel.

Case Discussion

vaginal pessary is a device inserted into the vagina which can either be mechanical or pharmaceutical.

A mechanical pessary is most commonly used to treat uterine prolapse. It is also used to treat stress urinary incontinence, a retroverted uterus, cystocoele and rectocoele. A bewildering array of shapes and sizes are available.

A pharmaceutical pessary is imbued with compounds active locally.

An understanding of the radiological appearance of some of these devices is useful to avoid misinterpreting them. 

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Case information

rID: 33860
Case created: 27th Jan 2015
Last edited: 18th May 2017
System: Gynaecology
Inclusion in quiz mode: Excluded

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