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Age and Ageing Advance Access published online on July 22, 2004
Age and Ageing, doi:10.1093/ageing/afh170
© 2004 by British Geriatrics Society
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Received March 24, 2004
Accepted March 31, 2004

Case Report

Lesson of the week: perils of pessaries

Luke D. Wheeler 1, Rajeka Lazarus 1, Jared Torkington 2, M. Sinead O'Mahony 1*, Kenneth W. Woodhouse 1

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

* To whom correspondence should be addressed. E-mail: omahonyms{at}cf.ac.uk.


  Abstract

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.
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