TY - JOUR T1 - Conservatively treated perforation of the neovagina in a male to female transsexual patient JF - BMJ Case Reports DO - 10.1136/bcr.08.2010.3241 VL - 2011 SP - bcr0820103241 AU - Ilda Amirian AU - Ismail Gögenur AU - Jacob Rosenberg Y1 - 2011/01/01 UR - http://casereports.bmj.com/content/2011/bcr.08.2010.3241.abstract N2 - An unknown number of patients have had male to female gender transformation. Various surgical techniques have been employed to construct the neovagina. The more traditional techniques include inverted penile grafts and vascular pedicle grafts, but also the small bowel and sigmoid colon have been used. In this case, the authors present a patient who previously had a gender transformation from male to female with use of bowel for the neovagina. The patient presented with severe abdominal pain, fever and leukocytosis. A CT scan revealed retroperitoneal free air, and an x-ray examination with contrast through the neovagina showed leakage from the neovaginal top. The patient was treated conservatively with antibiotics and discharged after 7 days. ER -