Not Your Typical Vaginal Bleed: Inflammatory Bowel Disease in a Sigmoid Neovagina.

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY

ACG Case Reports Journal Pub Date : 2026-08-13 eCollection Date: 2026-08-01 DOI:10.14309/crj.0000000000002284

Duha Zaffar, Michael J McCabe, Dhruvkumar M Patel, Daniel K Daniels

引用次数: 0

Abstract

A 31-year-old woman with mullerian agenesis and a neovagina derived from the sigmoid colon presented with bleeding per vaginum along with luminal gastrointestinal symptoms. Diagnostic evaluation revealed ulcerative colitis (UC) involving the native colon and neo vagina. Both her gastrointestinal and vaginal symptoms responded very well to conventional UC treatment. This case highlights a rare complication of UC in patients with Mullerian agenesis who have undergone sigmoid colon vaginoplasty. The association between UC and neovaginal bleeding underscores the need for careful monitoring and early intervention in such complex cases to prevent further morbidity and improve patient outcomes.

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不是典型的阴道出血：乙状结肠新阴道的炎症性肠病。

一例31岁女性，患有苗勒氏管发育和乙状结肠衍生的新阴道，表现为阴道出血并伴有肠腔胃肠道症状。诊断评估显示溃疡性结肠炎（UC）累及原结肠和新阴道。她的胃肠道和阴道症状对常规UC治疗反应良好。本病例强调了在接受乙状结肠阴道成形术的穆勒氏菌发育患者中罕见的UC并发症。UC与新阴道出血之间的关系强调了对此类复杂病例进行仔细监测和早期干预的必要性，以防止进一步发病率和改善患者预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-

自引率

14.30%

发文量

170

审稿时长

12 weeks

期刊介绍： ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.