Abstract
An 87-year-old woman presented to our hospital with a history of fever and vomiting. Inflammatory markers were elevated, and abdominal computed tomography showed a low-density area behind the uterus and a ring-shaped pessary in the vagina inserted for preventing uterine prolapse. Since the intravaginal ring-shaped pessary was suspected as the cause of colpitis and pyometra in the patient, we attempted to extract it, but it proved to be difficult. Therefore, we cut the ring-shaped pessary with a fret saw and clippers used for cutting ribs and performed foreign body extraction from the vagina. We experienced one case that resected a ring-shaped pessary to the vaginal outside. We report our case with a review of the literature.