{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T19:00:48Z","timestamp":1768244448547,"version":"3.49.0"},"reference-count":4,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,12,29]]},"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Vaginal pessaries are a simple and effective conservative treatment for pelvic organ prolapse. However, neglected devices can result in rare but serious complications, including incarceration and fistula formation. A woman in her early 30s with a history of uterine prolapse presented with 4\u2009months of discomfort, lower abdominal pain and dyspareunia. She had a ring pessary inserted 1 year earlier, which had not been replaced or maintained. Examination revealed the pessary incarcerated in the posterior fornix with mucosal overgrowth. Histopathology excluded malignancy, routine tests were normal and MRI confirmed pessary incarceration without bladder or rectal involvement. The pessary was removed surgically under general anaesthesia following a mucosal incision. Recovery was uneventful, and at the 2-week follow-up, the patient was asymptomatic with complete healing.<\/jats:p>\n                  <jats:p>This case highlights the importance of follow-up in pessary users, as neglected devices may cause significant morbidity even in younger women.<\/jats:p>","DOI":"10.1136\/bcr-2025-270293","type":"journal-article","created":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T15:31:05Z","timestamp":1768231865000},"page":"e270293","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Unusual presentation of vaginal ring pessary incarceration in a young patient"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3400-8161","authenticated-orcid":false,"given":"Sudwita","family":"Sinha","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaecology, AIIMS Patna, Patna, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mukta","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, AIIMS Patna, Patna, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Upasna","family":"Sinha","sequence":"additional","affiliation":[{"name":"Radio Diagnosis, AIIMS Patna, Patna, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muskan","family":"Rani","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, AIIMS Patna, Patna, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,1,12]]},"reference":[{"key":"2026011207302628000_19.1.e270293.1","doi-asserted-by":"crossref","DOI":"10.3390\/jpm13071056","article-title":"Complications of Pessaries Amenable to Surgical Correction: Two Case Reports and a Systematic Review of the Literature","volume":"13","author":"Calles Sastre","year":"2023","journal-title":"J Pers Med"},{"key":"2026011207302628000_19.1.e270293.2","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1016\/j.mjafi.2021.06.030","article-title":"Bangle pessary: An unusual cause of vesicovaginal fistula","volume":"79","author":"Shukla","year":"2023","journal-title":"Med J Armed Forces India"},{"key":"2026011207302628000_19.1.e270293.3","doi-asserted-by":"crossref","first-page":"1121","DOI":"10.1016\/j.jmig.2020.11.011","article-title":"Incarcerated Ring Pessary Repair under Local Anesthesia","volume":"28","author":"Pereira","year":"2021","journal-title":"J Minim Invasive Gynecol"},{"key":"2026011207302628000_19.1.e270293.4","doi-asserted-by":"crossref","DOI":"10.1136\/bcr.01.2012.5596","article-title":"Incarcerated foreign body in the vagina--a metal bangle used as a pessary","volume":"2012","author":"Dasari","year":"2012","journal-title":"BMJ Case Rep"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-270293","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T15:31:06Z","timestamp":1768231866000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-270293"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":4,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1,12]]},"published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1136\/bcr-2025-270293"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-270293","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]}}}