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Age and Ageing Advance Access originally published online on July 22, 2004
Age and Ageing 2004 33(5):510-511; doi:10.1093/ageing/afh170
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Age and Aging Vol. 33 No. 5 © British Geriatrics Society 2004; all rights reserved

Case Report

Lesson of the week: perils of pessaries

Luke D. Wheeler1, Rajeka Lazarus1, Jared Torkington2, M. Sinead O'Mahony1 and Kenneth W. Woodhouse1

1 Departments of Geriatric Medicine and 2 Surgery, Llandough Hospital, Penarth CF64 2XX, UK

Address correspondence to: M. S. O'Mahony, University Department of Geriatric Medicine, 3rd Floor, Academic Centre, Llandough Hospital, Penlan Road, Penarth, Vale of Glamorgan CF64 2XX, UK. Fax: (+44) 292 071 1267. Email: omahonyms{at}cf.ac.uk

Vaginal pessaries are widely considered to be a safe alternative to surgery in older women. We report a case of near fatal septicaemia in a 75-year-old woman associated with a shelf pessary, the presence of which was identified during an exploratory laparotomy. This case highlights the importance of the gynaecological history and examination when assessing older women with septicaemia of unknown source.

Keywords: vaginal pessary, older women, sepsis, adverse events, elderly

Received March 24, 2004; accepted in revised form March 31, 2004.


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