Ulcerative colitis of the neovagina as a postsurgical complication of persistent cloaca

Abstract Persistent cloaca is characterized by a common vestibule connected to the bladder, uterus, and rectum and a single perineal orifice to the exterior. Treatment can involve vaginal reconstruction with sigmoid/descending colon. We report a case of an 8-year-old girl who, as an infant, underwen...

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Bibliographic Details
Published in:Journal of pediatric surgery 2012, Vol.47 (1), p.e19-e22
Main Authors: Gabarain, Gabriel, Garcia-Naveiro, Reinaldo, Ponsky, Todd A, Boulanger, Scott C, Parry, Robert L
Format: Article
Language:English
Subjects:
Child
Cloaca
Cloaca - abnormalities
Cloaca - surgery
Colitis
Colitis, Ulcerative - etiology
Colon - transplantation
Female
Gynecologic Surgical Procedures - adverse effects
Humans
Inflammatory bowel disease
Neovagina
Pediatrics
Surgery
Ulcerative colitis
Vagina - surgery
Vaginal Diseases - etiology
Vaginoplasty
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Summary:Abstract Persistent cloaca is characterized by a common vestibule connected to the bladder, uterus, and rectum and a single perineal orifice to the exterior. Treatment can involve vaginal reconstruction with sigmoid/descending colon. We report a case of an 8-year-old girl who, as an infant, underwent vaginoplasty using sigmoid colon for persistent cloaca and developed a fulminant colitis that also affected the colonic neovagina 2 years after her reconstruction.
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2011.09.060