PMC4005094_01
Figure 1:CT scan showing dilated uterus in upper right film. Lower vertical sections showing bladder with adjacent rectum inferiorly and uterus superiorly. No vaginal tissue below uterus is apparent.
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F1
CT scan showed absence of vagina, hypoplastic cervix, and left hematosalpinx (Fig. 1).
Figure 2:Large bulky uterus, left hematosalpinx with occluded fimbriae are noted.
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F2
Right fallopian tube although edematous looked normal and so was right ovary (Fig. 2).
Figure 3:Harvested sigmoid colon (Inset), for colo-cervical anastomosis.
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F3
It was anastomosed to uterus above and introitus below (Fig. 3, 4A).
Figure 4:A, Completed procedure. B, At 2 weeks follow up after insetting a labial flap.
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F4
It was anastomosed to uterus above and introitus below (Fig. 3, 4A). Examination under anesthesia (EUA) on 3rd postoperative day, the lower posterior part of neo-vagina partly necrosed which was initially debrided and then replaced by labial flap after 2 weeks of initial surgery (Fig. 4B). EUA afterwards confirmed the viability and patency of neo-vagina.