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Ulcerative Colitis in a Transgender Woman With a Sigmoid Neovagina: A Case Report Publisher Pubmed



Sadeghi A1 ; Bahrami Hezaveh E1 ; Ali Asgari A1
Authors
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Authors Affiliations
  1. 1. Digestive Disease Research Institute (DDRI), Tehran University of Medical Sciences, Tehran, 14117-13135, Iran

Source: International Journal of Colorectal Disease Published:2024


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. © The Author(s) 2024.