{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T04:14:18Z","timestamp":1768277658404,"version":"3.49.0"},"reference-count":11,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Long-forgotten vaginal pessaries get incarcerated in the vagina and their removal poses problems. A 60-year-old postmenopausal woman presented with foul smelling purulent discharge per vaginum and stress incontinence. Speculum examination revealed foul smelling white discharge per vaginum and a friable vaginal wall which bled on touch. The anterior portion of a metal ring deeply embedded in the vagina was seen. The cervix appeared normal. Attempts of removal by traction under local infiltration failed and resulted in bleeding. Biopsy from the tissue covering the ring reported no evidence of malignancy. She was treated with broad-spectrum antibiotics for 1 week and the metallic ring was removed without any complications under general anaesthesia using electrocautery. It was found to be a metallic bangle with design. It is essential to gently cauterise and release the fibrosis over the incarcerated foreign body to achieve safe removal.<\/jats:p>","DOI":"10.1136\/bcr.01.2012.5596","type":"journal-article","created":{"date-parts":[[2012,5,15]],"date-time":"2012-05-15T09:10:12Z","timestamp":1337073012000},"page":"bcr0120125596","source":"Crossref","is-referenced-by-count":5,"title":["Incarcerated foreign body in the vagina \u2013 a metal bangle used as a pessary"],"prefix":"10.1136","author":[{"given":"Papa","family":"Dasari","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haritha","family":"Sagili","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,5,15]]},"reference":[{"key":"2025040405332598000_2012.may11_1.bcr0120125596.1","doi-asserted-by":"crossref","first-page":"508","DOI":"10.3126\/kumj.v6i4.1745","article-title":"Metallic vaginal ring pessary: a rare entity.","volume":"6","author":"Uprety","year":"2008","journal-title":"Kathmandu Univ Med J (KUMJ)"},{"key":"2025040405332598000_2012.may11_1.bcr0120125596.2","doi-asserted-by":"crossref","first-page":"728","DOI":"10.1136\/bmj.1.652.728","article-title":"Case of forgotten foreign body impacted for twenty two years in vagina","volume":"28","author":"Pearse","year":"1873","journal-title":"BMJ"},{"key":"2025040405332598000_2012.may11_1.bcr0120125596.3","first-page":"79","article-title":"A neglected foreign body impacted in vagina after self management of pelvic organ prolapsed in an elderly woman","volume":"3","author":"Lien","year":"2009","journal-title":"Incont Pelvic Floor Dysfunct"},{"key":"2025040405332598000_2012.may11_1.bcr0120125596.4","doi-asserted-by":"crossref","unstructured":"Malhotra N Chanana C Lal S . Forgotten vaginal pessary discovered after 30 years. Int J Gynecol Obstet 2007;6.","DOI":"10.5580\/2428"},{"key":"2025040405332598000_2012.may11_1.bcr0120125596.5","first-page":"789","article-title":"Nonsurgical management of genital prolapse. A review and recommendations for clinical practice","volume":"45","author":"Poma","year":"2000","journal-title":"J Reprod Med"},{"key":"2025040405332598000_2012.may11_1.bcr0120125596.6","doi-asserted-by":"publisher","DOI":"10.1080\/01443610600994825"},{"key":"2025040405332598000_2012.may11_1.bcr0120125596.7","first-page":"257","article-title":"An unusual foreign body in the vagina producing vesicovaginal fistula.","volume":"100","author":"Biswas","year":"2002","journal-title":"J Indian Med Assoc"},{"key":"2025040405332598000_2012.may11_1.bcr0120125596.8","doi-asserted-by":"crossref","first-page":"W18","DOI":"10.1308\/147870804182","article-title":"Forgotten vaginal pessary eroding into rectum.","volume":"86","author":"Hanavadi","year":"2004","journal-title":"Ann R Coll Surg Engl"},{"key":"2025040405332598000_2012.may11_1.bcr0120125596.9","first-page":"671","article-title":"Intravaginal foreign body-a rare case report of large bowel obstruction","volume":"100","author":"Puneet","year":"2002","journal-title":"J Indian Med Assoc"},{"key":"2025040405332598000_2012.may11_1.bcr0120125596.10","doi-asserted-by":"crossref","first-page":"1413","DOI":"10.1111\/j.1532-5415.1997.tb02952.x","article-title":"Unilateral hydronephrosis, pyelonephritis, and bacteremia caused by a neglected vaginal ring pessary","volume":"45","author":"Duncan","year":"1997","journal-title":"J Am Geriatr Soc"},{"key":"2025040405332598000_2012.may11_1.bcr0120125596.11","first-page":"266","article-title":"A case of intravaginal foreign body","volume":"66","author":"Chopra","year":"2010","journal-title":"MJAFI"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr.01.2012.5596","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T18:19:47Z","timestamp":1743790787000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr.01.2012.5596"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,5,15]]},"references-count":11,"alternative-id":["10.1136\/bcr.01.2012.5596"],"URL":"https:\/\/doi.org\/10.1136\/bcr.01.2012.5596","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,5,15]]}}}