Vaginal Perforations After Fecal Management System Use in Critically Ill Patients: A Case Series
Sarah V Sebastian1, Nicole P Jenkins2, Amber W Chan1
1Department of Obstetrics and Gynecology, Hackensack Meridian Jersey Shore University Medical Center, Neptune, USA.
Cureus
|February 27, 2026
Summary
Fecal management systems (FMS) can cause rare vaginal perforations in intensive care unit (ICU) patients. Healthcare providers should monitor FMS use, especially in critically ill patients with coagulopathies like DIC.
Area of Science:
- Critical Care Medicine
- Gastroenterology
- Gynecology
Background:
- Fecal incontinence is common in intensive care unit (ICU) patients.
- Fecal management systems (FMS) manage stool but carry risks.
- Rare but serious complications, including vaginal perforations, have been reported with FMS.
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