Restoration of vaginal anatomy after extensive posterior wall resection utilizing human acellular dermal matrix

摘要

class="kwd-title">Keywords: Graft, Collagen, Vaginal reconstruction, Anal cancer, Alloderm, Exenteration class="head no_bottom_margin" id="s0005title">1. Patient backgroundA 51 year old female presented with a chief complaint of hematochezia, dyschezia, tenesmus and stool incontinence. She also reported a six month history of constipation and pencil thin stools. A colonoscopy demonstrated a near-circumferential friable and bulky rectal mass 4–5 cm from the anal verge (). Biopsy of the mass revealed a moderately differentiated adenocarcinoma presumed to be of rectal origin. Computed tomography was significant for regional lymphadenopathy without evidence of vaginal involvement.Rectal cancer detected on initial colonoscopy 4–5 cm from anal verge.