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两名乙状结肠新阴道成形术后绝经后出血患者的评估。

Evaluation of Post-Menopausal Bleeding in Two Patients with Sigmoid Neovaginoplasty.

机构信息

Department of Obstetrics and Gynecology, Division of Minimally Invasive Gynecologic Surgery, Northwestern Medicine Delnor Hospital, Geneva IL.

Department of Internal Medicine, Division of Gastroenterology Northwestern Medicine Delnor Hospital, Geneva IL.

出版信息

CRSLS. 2023 Jan 14;9(4). doi: 10.4293/CRSLS.2022.00068. eCollection 2022 Oct-Dec.

DOI:10.4293/CRSLS.2022.00068
PMID:36712180
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9840202/
Abstract

INTRODUCTION

Mayer-Rokitansky-Kuster-Hauser syndrome or vaginal agenesis, is the rare congenital absence of the vagina with varying degree of hypoplasia of the Mullerian duct system and uterine development. One of the reconstructive surgical options for a vaginoplasty involves the usage of the large bowel.

CASE DESCRIPTION

We report two cases of patients who have had a sigmoid neovaginoplasty presenting many years later with postmenopausal bleeding.

DISCUSSION

The authors describe the evaluation that can be performed by the gynecologist and gastroenterologist to initiate the work-up for this rare presentation.

摘要

简介

Mayer-Rokitansky-Kuster-Hauser 综合征或阴道发育不全，是一种罕见的先天性阴道缺失，伴有苗勒管系统和子宫发育的不同程度的发育不良。阴道成形术的重建手术之一涉及大肠的使用。

病例描述

我们报告了两例接受乙状结肠新阴道成形术的患者，多年后出现绝经后出血。

讨论

作者描述了妇科医生和胃肠病医生可以进行的评估，以开始对这种罕见表现进行检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bb3/9840202/2fe0df351996/LS-JSLS220071F002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bb3/9840202/74e1a04f6d2d/LS-JSLS220071F001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bb3/9840202/2fe0df351996/LS-JSLS220071F002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bb3/9840202/74e1a04f6d2d/LS-JSLS220071F001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bb3/9840202/2fe0df351996/LS-JSLS220071F002.jpg

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Trends in Gender-affirming Surgery in Insured Patients in the United States.美国参保患者性别确认手术的趋势
Plast Reconstr Surg Glob Open. 2018 Apr 16;6(4):e1738. doi: 10.1097/GOX.0000000000001738. eCollection 2018 Apr.
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Adenocarcinoma arising in sigmoid colon neovagina 53 years after construction.乙状结肠新阴道 53 年后发生的腺癌。
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Mayer-Rokitansky-Kuster-Hauser syndrome with type 3 von Willebrand's disease: a case report and review of literature.
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Mayer-Rokitansky-Küster-Hauser syndrome: a review of 245 consecutive cases managed by a multidisciplinary approach with vaginal dilators.梅耶尔-罗基坦斯基-库斯特-豪泽综合征：245 例连续病例的多学科管理回顾，采用阴道扩张器治疗。
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Metachronous colorectal malignancies: "don't forget the neo vagina". A case report.异时性结直肠恶性肿瘤：“别忘了人造阴道”。病例报告。
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