case_images: PMC4005094_01
case_images: 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.
case_images: ajcr-5-7.f1.jpg
case_images: PMC4005094_01_ajcr-5-7.f1.jpg
case_images: F1
case_images: CT scan showed absence of vagina, hypoplastic cervix, and left hematosalpinx (Fig. 1).
case_images: Figure 2:Large bulky uterus, left hematosalpinx with occluded fimbriae are noted.
case_images: ajcr-5-7.f2.jpg
case_images: PMC4005094_01_ajcr-5-7.f2.jpg
case_images: F2
case_images: Right fallopian tube although edematous looked normal and so was right ovary (Fig. 2).
case_images: Figure 3:Harvested sigmoid colon (Inset), for colo-cervical anastomosis.
case_images: ajcr-5-7.f3.jpg
case_images: PMC4005094_01_ajcr-5-7.f3.jpg
case_images: F3
case_images: It was anastomosed to uterus above and introitus below (Fig. 3, 4A).
case_images: Figure 4:A, Completed procedure. B, At 2 weeks follow up after insetting a labial flap.
case_images: ajcr-5-7.f4.jpg
case_images: PMC4005094_01_ajcr-5-7.f4.jpg
case_images: F4
case_images: 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.