The Constructed Intestinal Abscess After Construction of Vagina Due to Rokitansky-Küster-Hauser Syndrome: A Case Report

Abstract

A 76-year-old woman was admitted to Kawaguchi Municipal Medical Center complaining of lower abdominal pain. Abdominal computed tomography （CT） revealed a thick-walled cystic lesion containing fluid measuring 40 mm in diameter in the lower abdomen. Based on these findings of abdominal CT and the hematological findings, the patient was suspected as having an intra-abdominal abscess. The patient had a past history of having undergone colpoplasty using an intestinal graft. Thus, it was determined that the intra-abdominal abscess was derived from the intestinal stump of the reconstructed vagina. The patient was successfully treated with antibiotics and discharged after 11 days in hospital. The abscess resolved almost completely, with no evidence of recurrence for the subsequent 24 months of follow-up. Thus, it is important to consider the postoperative complication of abscess in patients with a history of colpoplasty using the digestive tract.