Sigmoid Diverticulitis: A Rare Complication of Colovaginoplasty

Ahmed Monier Sherif^1, , John Feldman¹, Rajendra Kedar¹ and Todd Hazelton¹

¹Radiology Department, University of South Florida, Tampa, USA

Cite this paper

Ahmed Monier Sherif, John Feldman, Rajendra Kedar and Todd Hazelton. Sigmoid Diverticulitis: A Rare Complication of Colovaginoplasty. American Journal of Medical Case Reports. 2016; 4(3):91-92. doi: 10.12691/AJMCR-4-3-5

Abstract

Colovaginoplasty is a surgical technique using a segment of the colon along its vascular pedicle to form neovagina and its lining. This surgery is usually performed on women with androgen insensitivity syndrome, congenital adrenal hyperplasia, vaginal agenesis, müllerian agenesis, and in sex reassignment surgery. We report a case sigmoid diverticulitis in a 64 years old female with history of colovaginoplasty transgender surgery using sigmoid colon. The literature is reviewed, and MRI imaging findings are highlighted.

Keywords

Neovaginal construction, Magnetic Resonance Imaging, Transgender surgery, Colonic diverticulitis

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]	Lynn Conway, “Vaginoplasty: Male to Female Sex Reassignment Surgery - Historical notes, descriptions, photos, references and links”, LynnConway.com http://ai.eecs.umich.edu/people/conway/TS/SRS.html.
[2]	Selveggi G, Bellringer J. Gender reassignment surgery: an overview. Nat Rev Urol. 2011;8:274-282.
[3]	Djordjevic ML, Stanojevic DS, Bizic MR. Rectosigmoid vaginoplasty: clinical experience and outcomes in 86 cases. J Sex Med. 2011;8:3487-3494.
[4]	Labus LD, Djordjevic ML, Stanojevic DS, Bizic MR, Stojanovic BZ, Cavic TM. Rectosigmoid vaginoplasty in patients with vaginal agenesis: sexual and psychosocial outcomes. Sex Health. 2011;3:427-430.
[5]	Kwun S, Hoon J, Cheol K, Min J, Tae J, Chan M. Long-term results in patients after rectosigmoid vaginoplasty. Plast Reconstr Surg. 2003; 112:143-151.
[6]	Kapoor R, Sharma DK, Singh KJ, Suri A, Singh P, Chaudhary H, Dubey D, Mandhani A. Sigmoid vaginoplasty: long-term results. Urology. 2006; 67:1212-1215.
[7]	Kirchhoff P, Clavien P-A, Hahnloser D. Complications in colorectal surgery: risk factors and preventive strategies. Patient Safety in Surgery. 2010; 4:5.
[8]	Wroblevski P, Gustafsson J, Selvaggi G. Sex reassignment surgery for transsexuals. Curr Opin Endocrinol Diabetes Obes. 2013; 20:570-574.
[9]	Rajimwale A, Furness PD, 3rd, Brant WO, Koyle MA. Vaginal construction using sigmoid colon in children and young adults. BJU Int. 2004; 94:115-9.
[10]	Shimamura Y, Fujikawa A, Kubota K, Ishii N, Fujita Y, Ohta K. Perforation of the neovagina in a male-to-female transsexual: a case report. Journal of Medical Case Reports. 2015; 9:24.
[11]	Rawat J, Ahmed I, Pandey A, et al. Vaginal agenesis: Experience with sigmoid colon neovaginoplasty. Journal of Indian Association of Pediatric Surgeons. 2010; 15(1): 19-22.
[12]	Hiroi H, Yasugi T, Matsumoto K, Fujii T, Watanabe T, Yoshikawa H, Taketani Y. Mucinous adenocarcinoma arising in a neovagina using the sigmoid colon thirty years after operation: a case report. J Surg Oncol. 2001; 77:61-64.
[13]	Toolenaar TA, Freundt I, Huikeshoven FJ, Drogendijk AC, Jeekel H, Chadha-Ajwani S: The occurrence of diversion colitis in patients with a sigmoid neovagina. Hum Pathol. 1993; 24: 846-9.
[14]	Froese DP, Haggitt RC, Friend WG: Ulcerative colitis in the autotransplanted neovagina. Gastroenterology. 1991; 100: 1749-52.
[15]	Ruegner CN, Benton M, Dunsmore N, Perry G, Castellani RJ (2014) Colonic Adenocarcinoma of a Neovagina in a Patient with Mullerian Agenesis. Reprod Syst Sex Disord 3:138.
[16]	Avunduk C. Manual of Gastroenterology, Diagnosis and Therapy. Lippincott Williams & Wilkins. (2008).
[17]	Hobson KG, Roberts PL. Etiology and Pathophysiology of Diverticular Disease. Clinics in Colon and Rectal Surgery. 2004; 17(3):147-153.
[18]	DeStigter KK, Keating DP. Imaging Update: Acute Colonic Diverticulitis. Clinics in Colon and Rectal Surgery. 2009; 22(3):147-155.
[19]	Alonso S, Pera M, Parès D, Pascual M, Gil MJ, Courtier R, et al. Outpatient treatment of patients with uncomplicated acute diverticulitis. Colorectal Dis. 2010; 12:278-82.
[20]	Diagnosis and management of acute diverticulitis. Wilkins T1, Embry K, George R. Am Fam Physician. 2013 May 1; 87(9):612-20.