A First Case Report of Torsion of the Substituted Small Intestine 39 Years after Vaginoplasty using Ileum Segment

Background: There are several methods of vaginoplasty. Though small intestine is not commonly used for vaginoplasty, we should know the operative procedures because we may encounter patients using small intestine for vaginoplasty. Case: A 62-year-old woman who had undergone vaginoplasty using small intestine before, was taken to our hospital with a complaint of abdominal pain. She was diagnosed as torsion of the substituted small intestine by trans vaginal fiberscope test and enhanced Computed Tomography (CT), followed with urgent laparotomy. The pathological test was consistent with torsion of substituted small intestine. Conclusion: We should know that the substituted small intestine could be twisted after vaginoplasty.