A case of fallopian tube prolapse through the posterior fornix with retained shelf pessary

• DOI: 10.1007/s00192-013-2319-0
• Publication Date: 2014-02-07T14:20:25Z
• Authors: Bivas Biswas; George Morgan; Natasha Davidson
• Keywords: Pessary; Fallopian tube; Rectovaginal Fistula; Uterine prolapse; Vesicovaginal Fistula

Pessaries are a viable alternative to the surgical management of prolapse. Occasional cases of vesicovaginal fistula, rectovaginal fistula, erosion and subsequent impaction have been reported. Fallopian tube prolapse has rarely been reported post hysterectomy, but neither with pessary use nor with an intact uterus. We report a case of prolapsed fallopian tube subsequent to a neglected pessary, presenting as vaginal bleeding, with a coincidental asymptomatic endometrial polyp which was picked up by chance. Women with tubal prolapse may be asymptomatic and observation alone might lead to resolution as evident in our case.