An Arterial Vaginal Bleed Resulting from Short-Term Pessary Use: A Case Report

Area of Science:

• Gynecology
• Urogynecology
• Medical Device Complications

Background:

• Pessaries are frequently used for pelvic organ prolapse (POP) management.
• Major complications are typically associated with prolonged use and neglect.
• Short-term complications or those needing surgery are uncommon.

Observation:

• A 58-year-old postmenopausal woman presented with acute vaginal bleeding.
• The bleeding was arterial and necessitated surgical intervention.
• This occurred three weeks after pessary insertion for POP.

Findings:

• This case represents a rare instance of severe, short-term complication from pessary use.
• It is the first reported case of acute arterial hemorrhage requiring surgery after short-term pessary placement.
• Highlights potential risks associated with pessary management.

Implications:

• Clinicians should be aware of rare but serious complications associated with pessaries.
• Vigilance is needed for prompt diagnosis and management of bleeding complications.
• Further research may explore risk factors for such acute events.