PDF(Pubmed)
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.
METHODS: 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.
METHODS: 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.
摘要：
背景：性别重新分配手术（SRS）是转换为男性至女性变性人所需性别的必要步骤。这项研究的重点是SRS后出现的罕见并发症，旨在强调与此手术相关的潜在并发症。
方法：本报告描述了一名49岁变性女性，有SRS病史，10年后出现血性腹泻和新阴道出血。结肠镜检查显示与溃疡性结肠炎相容的特征，活检证实了这一点。
结论：这种现象的不可预测的临床过程可能促使外科医生重新考虑使用直肠乙状结肠来产生新阴道。此病例报告强调了当直肠乙状结肠段用于新阴道构造时，对SRS后的变性女性进行长期监测胃肠道并发症的必要性。
方法：本报告描述了一名49岁变性女性，有SRS病史，10年后出现血性腹泻和新阴道出血。结肠镜检查显示与溃疡性结肠炎相容的特征，活检证实了这一点。
结论：这种现象的不可预测的临床过程可能促使外科医生重新考虑使用直肠乙状结肠来产生新阴道。此病例报告强调了当直肠乙状结肠段用于新阴道构造时，对SRS后的变性女性进行长期监测胃肠道并发症的必要性。
