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Ulcerative colitis in a transgender woman with a sigmoid neovagina: a case report
Anahita Sadeghi1, Ehsan Bahrami Hezaveh2, Ali Ali Asgari2
1Digestive Disease Research Institute (DDRI), Tehran University of Medical Sciences, Tehran, 14117-13135, Iran. anahita825@gmail.com.
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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