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

IF 2.5 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY International Journal of Colorectal Disease Pub Date : 2024-07-09 DOI:10.1007/s00384-024-04676-x
Anahita Sadeghi, Ehsan Bahrami Hezaveh, Ali Ali Asgari
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Abstract

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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患有乙状新阴道的变性女性的溃疡性结肠炎:病例报告。
背景:变性手术(SRS)是男变女变性者转变为理想性别的必要步骤。本研究重点关注变性手术后出现的一种罕见并发症,旨在强调与该手术相关的潜在并发症:本报告描述了一名 49 岁的变性女性,她有 SRS 病史,10 年后出现血性腹泻和新阴道出血。结肠镜检查显示其特征与溃疡性结肠炎相符,活检证实了这一点:结论:这种现象的临床过程难以预测,可能会促使外科医生重新考虑使用直肠乙状结肠创建新阴道。本病例报告强调,在使用直肠乙状结肠段构建新阴道时,有必要对SRS术后变性女性的胃肠道并发症进行长期监测。
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来源期刊
CiteScore
4.90
自引率
3.60%
发文量
206
审稿时长
3-8 weeks
期刊介绍: The International Journal of Colorectal Disease, Clinical and Molecular Gastroenterology and Surgery aims to publish novel and state-of-the-art papers which deal with the physiology and pathophysiology of diseases involving the entire gastrointestinal tract. In addition to original research articles, the following categories will be included: reviews (usually commissioned but may also be submitted), case reports, letters to the editor, and protocols on clinical studies. The journal offers its readers an interdisciplinary forum for clinical science and molecular research related to gastrointestinal disease.
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