Simultaneous Development of Ulcerative Colitis in the Sigmoidocolon Autotransplant Neovagina and the Residual Colorectum

Matsune, Y; Yaguchi, Katsuki; Saito, Shin; Sakakibara, Hideya; Inayama, Yoshiaki; Kimura, Hideaki; Kunisaki, Reiko

doi:10.1093/ibd/izab222

Cited by 6 publications

(1 citation statement)

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“…In a letter to the editor discussing a patient with a history of vaginoplasty because of vaginal agenesis, coincident UC development in the sigmoid neovagina and the remaining colon occurred. They reported failure to respond to multiple drugs, including 5-amino salicylic acid, azathioprine, tacrolimus, and vedolizumab [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Ulcerative colitis in a transgender woman with a sigmoid neovagina: a case report

Sadeghi,

Bahrami Hezaveh,

Ali Asgari

2024

Int J Colorectal Dis

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Background Sex reassignment surgery (SRS) is a necessary step in transitioning into the desired gender for male-to-female transgender individuals. This study focuses on a rare complication developed following SRS, aiming to highlight potential complications associated with this procedure. Case presentation This report describes a 49-year-old transgender woman with a history of SRS who developed bloody diarrhea and neovaginal bleeding 10 years later. A colonoscopy revealed features compatible with ulcerative colitis, which was confirmed by a biopsy. Conclusions The unpredictable clinical course of this phenomenon may prompt surgeons to reconsider the use of a rectosigmoid colon to create a neovagina. This case report underscores the necessity of long-term monitoring for gastrointestinal complications in transgender women post-SRS when a rectosigmoid colon segment is utilized for neovaginal construction.

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Section: Discussionmentioning

confidence: 99%