PT  - JOURNAL ARTICLE
AU  - Ilda Amirian
AU  - Ismail Gögenur
AU  - Jacob Rosenberg
TI  - Conservatively treated perforation of the neovagina in a male to female transsexual patient
AID  - 10.1136/bcr.08.2010.3241
DP  - 2011 Jan 01
TA  - BMJ Case Reports
PG  - bcr0820103241
VI  - 2011
4099  - http://casereports.bmj.com/content/2011/bcr.08.2010.3241.short
4100  - http://casereports.bmj.com/content/2011/bcr.08.2010.3241.full
AB  - 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.