Vaginal ring pessary

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Pelvic pain. Incidental finding.

Patient Data

Age: 65 years
Gender: Female
x-ray

A large round circular artefact projects over the midline pelvis, inferring vaginal ring pessary.

Mild degenerative changes are seen in both hip joints and the visualized lumbar spine.

Case Discussion

A pessary is a device inserted into the vagina that is most commonly used to treat uterine prolapse, stress urinary incontinence, a retroverted uterus, cystocele and rectocele.

Understanding the radiological appearance of these devices is helpful to avoid misinterpreting them and be aware when they are malpositioned.

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