先天性无阴道患者术后并发持续性肛膜溃疡

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

机构信息

Case Western Reserve University-School of Medicine, Concord, OH 44077, USA.

出版信息

J Pediatr Surg. 2012 Jan;47(1):e19-22. doi: 10.1016/j.jpedsurg.2011.09.060.

DOI:10.1016/j.jpedsurg.2011.09.060

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.

摘要

持续性肛膜闭锁的特征是一个共同的前庭与膀胱、子宫和直肠相连，并有一个单一的会阴或肛门开口通向外部。治疗方法包括阴道重建，使用乙状结肠/降结肠。我们报告了一例 8 岁女孩的病例，她在婴儿期因持续性肛膜闭锁接受了乙状结肠阴道成形术，在重建后 2 年内发生暴发性结肠炎，也影响了结肠新阴道。