Presentation
The patient presented for unrelated abdominal pain.
Patient Data
A multilobulated structure similar in morphology to the colon is seen in the expected location of the uterus and upper vagina. An anastomotic suture is seen in the proximal sigmoid colon from the site of graft harvest.
Case Discussion
The patient reported a history of Mayer-Rokitansky-Kuster-Hauser syndrome, for which they underwent a sigmoid vaginoplasty many years prior.
Sigmoid vaginoplasty is a treatment for sexual dysfunction due to MRKH when nonsurgical techniques such as vaginal dilation have failed. Sigmoid vaginoplasty involves the interposition of the sigmoid colon in the upper vagina to help restore sexual function. Bowel vaginoplasty has the distinct advantage of being less prone to stricture and natural lubrication from bowel secretions.
Some late complications related to bowel vaginoplasty can include colitis, feculent discharge, and malignant degeneration in rare cases.