{"id":"https://openalex.org/W7225628759","doi":"https://doi.org/10.1186/s12905-026-05054-1","title":"Cervicovaginal adhesions causing obstructive hematocolpos and endometrial thickening after pelvic radiotherapy for rectal cancer: a case report with 12-month follow-up","display_name":"Cervicovaginal adhesions causing obstructive hematocolpos and endometrial thickening after pelvic radiotherapy for rectal cancer: a case report with 12-month follow-up","publication_year":2026,"publication_date":"2026-11-09","ids":{"openalex":"https://openalex.org/W7225628759","doi":"https://doi.org/10.1186/s12905-026-05054-1"},"language":"en","primary_location":{"id":"doi:10.1186/s12905-026-05054-1","doi":"https://doi.org/10.1186/s12905-026-05054-1","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12905-026-05054-1","pdf_url":null,"source":{"id":"https://openalex.org/S94788606","display_name":"BMC Women s Health","issn_l":"1472-6874","issn":["1472-6874"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Women's Health","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1186/s12905-026-05054-1","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5161323516","display_name":"Nanfeng Xiao","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I111599522","display_name":"Jiangnan University","ror":"https://ror.org/04mkzax54","country_code":"CN","type":"education","lineage":["https://openalex.org/I111599522"]},{"id":"https://openalex.org/I4210114781","display_name":"Wuxi Fourth People's Hospital","ror":"https://ror.org/02ar02c28","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210114781"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Nanfeng Xiao","raw_affiliation_strings":["Department of Obstetrics and Gynecology, Affiliated Hospital of Jiangnan University, 1000 Hui He Road, Wuxi, Jiangsu Province, 214122, PR China","Jiangnan University, No. 1800 Lihu Avenue, Wuxi, Jiangsu Province, 214122, PR China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology, Affiliated Hospital of Jiangnan University, 1000 Hui He Road, Wuxi, Jiangsu Province, 214122, PR China","institution_ids":["https://openalex.org/I4210114781"]},{"raw_affiliation_string":"Jiangnan University, No. 1800 Lihu Avenue, Wuxi, Jiangsu Province, 214122, PR China","institution_ids":["https://openalex.org/I111599522"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101809234","display_name":"Meng Sun","orcid":"https://orcid.org/0000-0002-1756-3542","observed_orcids":["https://orcid.org/0000-0002-1756-3542"]},"institutions":[{"id":"https://openalex.org/I4210114781","display_name":"Wuxi Fourth People's Hospital","ror":"https://ror.org/02ar02c28","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210114781"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Meng Sun","raw_affiliation_strings":["Department of Obstetrics and Gynecology, Affiliated Hospital of Jiangnan University, 1000 Hui He Road, Wuxi, Jiangsu Province, 214122, PR China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology, Affiliated Hospital of Jiangnan University, 1000 Hui He Road, Wuxi, Jiangsu Province, 214122, PR China","institution_ids":["https://openalex.org/I4210114781"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161343970","display_name":"Laiyun Cui","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I111599522","display_name":"Jiangnan University","ror":"https://ror.org/04mkzax54","country_code":"CN","type":"education","lineage":["https://openalex.org/I111599522"]},{"id":"https://openalex.org/I4210114781","display_name":"Wuxi Fourth People's Hospital","ror":"https://ror.org/02ar02c28","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210114781"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Laiyun Cui","raw_affiliation_strings":["Department of Obstetrics and Gynecology, Affiliated Hospital of Jiangnan University, 1000 Hui He Road, Wuxi, Jiangsu Province, 214122, PR China","Jiangnan University, No. 1800 Lihu Avenue, Wuxi, Jiangsu Province, 214122, PR China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology, Affiliated Hospital of Jiangnan University, 1000 Hui He Road, Wuxi, Jiangsu Province, 214122, PR China","institution_ids":["https://openalex.org/I4210114781"]},{"raw_affiliation_string":"Jiangnan University, No. 1800 Lihu Avenue, Wuxi, Jiangsu Province, 214122, PR China","institution_ids":["https://openalex.org/I111599522"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161348058","display_name":"Fangfang Hao","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I111599522","display_name":"Jiangnan University","ror":"https://ror.org/04mkzax54","country_code":"CN","type":"education","lineage":["https://openalex.org/I111599522"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Fangfang Hao","raw_affiliation_strings":["Jiangnan University, No. 1800 Lihu Avenue, Wuxi, Jiangsu Province, 214122, PR China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Jiangnan University, No. 1800 Lihu Avenue, Wuxi, Jiangsu Province, 214122, PR China","institution_ids":["https://openalex.org/I111599522"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113880572","display_name":"Ping Ren","orcid":"https://orcid.org/0000-0002-4022-6667","observed_orcids":["https://orcid.org/0000-0002-4022-6667"]},"institutions":[{"id":"https://openalex.org/I4210114781","display_name":"Wuxi Fourth People's Hospital","ror":"https://ror.org/02ar02c28","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210114781"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Ping Ren","raw_affiliation_strings":["Department of Obstetrics and Gynecology, Affiliated Hospital of Jiangnan University, 1000 Hui He Road, Wuxi, Jiangsu Province, 214122, PR China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology, Affiliated Hospital of Jiangnan University, 1000 Hui He Road, Wuxi, Jiangsu Province, 214122, PR China","institution_ids":["https://openalex.org/I4210114781"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5161321082","display_name":"Jing Song","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210114781","display_name":"Wuxi Fourth People's Hospital","ror":"https://ror.org/02ar02c28","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210114781"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Jing Song","raw_affiliation_strings":["Department of Obstetrics and Gynecology, Affiliated Hospital of Jiangnan University, 1000 Hui He Road, Wuxi, Jiangsu Province, 214122, PR China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology, Affiliated Hospital of Jiangnan University, 1000 Hui He Road, Wuxi, Jiangsu Province, 214122, PR China","institution_ids":["https://openalex.org/I4210114781"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5113880572","https://openalex.org/A5161321082"],"corresponding_institution_ids":["https://openalex.org/I4210114781"],"apc_list":{"value":2890,"currency":"USD","value_usd":2890},"apc_paid":{"value":2890,"currency":"USD","value_usd":2890},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11589","display_name":"Gynecological conditions and treatments","score":0.9307000041007996,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11589","display_name":"Gynecological conditions and treatments","score":0.9307000041007996,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10668","display_name":"Endometrial and Cervical Cancer Treatments","score":0.053300000727176666,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12089","display_name":"Intestinal and Peritoneal Adhesions","score":0.008200000040233135,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/endometrial-thickening","display_name":"endometrial thickening","score":0.8399999737739563},{"id":"https://openalex.org/keywords/rectal-cancer","display_name":"rectal cancer","score":0.7900000214576721},{"id":"https://openalex.org/keywords/pelvic-radiotherapy","display_name":"pelvic radiotherapy","score":0.906000018119812},{"id":"https://openalex.org/keywords/late-radiation-effects","display_name":"late radiation effects","score":0.7099999785423279},{"id":"https://openalex.org/keywords/diminished-ovarian-reserve","display_name":"diminished ovarian reserve","score":0.9259999990463257},{"id":"https://openalex.org/keywords/gnrh-agonist","display_name":"GnRH agonist","score":0.8870000243186951},{"id":"https://openalex.org/keywords/adhesiolysis","display_name":"adhesiolysis","score":0.9480000138282776},{"id":"https://openalex.org/keywords/hysteroscopy","display_name":"hysteroscopy","score":0.8050000071525574},{"id":"https://openalex.org/keywords/curettage","display_name":"curettage","score":0.6019999980926514}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9627000093460083},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.5134000182151794},{"id":"https://openalex.org/C544855455","wikidata":"https://www.wikidata.org/wiki/Q1070952","display_name":"Histopathology","level":2,"score":0.4722000062465668},{"id":"https://openalex.org/C2777740455","wikidata":"https://www.wikidata.org/wiki/Q666412","display_name":"Cervix","level":3,"score":0.44200000166893005},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4228000044822693},{"id":"https://openalex.org/C2779522080","wikidata":"https://www.wikidata.org/wiki/Q205764","display_name":"Endometriosis","level":2,"score":0.415800005197525},{"id":"https://openalex.org/C2777479560","wikidata":"https://www.wikidata.org/wiki/Q785307","display_name":"Cervical canal","level":4,"score":0.39890000224113464},{"id":"https://openalex.org/C84416704","wikidata":"https://www.wikidata.org/wiki/Q188666","display_name":"Adhesion","level":2,"score":0.3953999876976013},{"id":"https://openalex.org/C509974204","wikidata":"https://www.wikidata.org/wiki/Q180507","display_name":"Radiation therapy","level":2,"score":0.3833000063896179},{"id":"https://openalex.org/C2780136519","wikidata":"https://www.wikidata.org/wiki/Q7161805","display_name":"Pelvic pain","level":2,"score":0.3675000071525574},{"id":"https://openalex.org/C2779013556","wikidata":"https://www.wikidata.org/wiki/Q181876","display_name":"Metastasis","level":3,"score":0.35109999775886536},{"id":"https://openalex.org/C2777744392","wikidata":"https://www.wikidata.org/wiki/Q5880","display_name":"Vagina","level":2,"score":0.34860000014305115},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.3452000021934509},{"id":"https://openalex.org/C2780778865","wikidata":"https://www.wikidata.org/wiki/Q1130374","display_name":"Laparotomy","level":2,"score":0.3431999981403351},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.3361999988555908},{"id":"https://openalex.org/C2776140610","wikidata":"https://www.wikidata.org/wiki/Q1547362","display_name":"Pelvic cavity","level":2,"score":0.32670000195503235},{"id":"https://openalex.org/C2779771394","wikidata":"https://www.wikidata.org/wiki/Q12171","display_name":"Menstruation","level":2,"score":0.3158000111579895},{"id":"https://openalex.org/C143753070","wikidata":"https://www.wikidata.org/wiki/Q162564","display_name":"Ultrasound","level":2,"score":0.3142000138759613},{"id":"https://openalex.org/C2779742232","wikidata":"https://www.wikidata.org/wiki/Q839508","display_name":"Endometrium","level":2,"score":0.305400013923645},{"id":"https://openalex.org/C2775963564","wikidata":"https://www.wikidata.org/wiki/Q597058","display_name":"Hysteroscopy","level":2,"score":0.2639000117778778},{"id":"https://openalex.org/C2777088508","wikidata":"https://www.wikidata.org/wiki/Q944777","display_name":"Endometrial cancer","level":3,"score":0.26100000739097595},{"id":"https://openalex.org/C2777164284","wikidata":"https://www.wikidata.org/wiki/Q277954","display_name":"Estrogen","level":2,"score":0.2513999938964844}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1186/s12905-026-05054-1","doi":"https://doi.org/10.1186/s12905-026-05054-1","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12905-026-05054-1","pdf_url":null,"source":{"id":"https://openalex.org/S94788606","display_name":"BMC Women s Health","issn_l":"1472-6874","issn":["1472-6874"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Women's Health","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1186/s12905-026-05054-1","doi":"https://doi.org/10.1186/s12905-026-05054-1","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12905-026-05054-1","pdf_url":null,"source":{"id":"https://openalex.org/S94788606","display_name":"BMC Women s Health","issn_l":"1472-6874","issn":["1472-6874"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Women's Health","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2808505464","https://openalex.org/W2042036198","https://openalex.org/W3111438414","https://openalex.org/W2148661666","https://openalex.org/W2411892894","https://openalex.org/W2170205663","https://openalex.org/W2413210118","https://openalex.org/W4214692180","https://openalex.org/W2464633163","https://openalex.org/W2148862743"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"Cervicovaginal":[2,290],"adhesion":[3],"with":[4,21,82,98,114,191,214,226,300],"obstructive":[5],"hematocolpos":[6],"is":[7,31,39],"an":[8,211],"uncommon":[9],"late":[10],"complication":[11],"after":[12,224],"pelvic":[13,83,301],"radiotherapy":[14,84,277],"for":[15,89],"rectal":[16,90],"cancer.":[17],"In":[18,49],"young":[19,296],"women":[20],"severely":[22,264],"diminished":[23,265],"ovarian":[24,266],"reserve,":[25],"apparent":[26,132],"endometrial":[27,133,154,192,274,288],"thickening":[28,134,275],"on":[29],"ultrasound":[30,120],"traditionally":[32],"attributed":[33],"to":[34,233,253],"estrogen,":[35],"but":[36,256,316],"this":[37,50],"explanation":[38],"less":[40],"convincing":[41],"in":[42,92,95,276,295],"the":[43,52,112,115,148],"setting":[44],"of":[45,135,174,196,228],"profound":[46],"estrogen":[47],"suppression.":[48],"case,":[51],"19":[53,136],"mm":[54,128,235,243],"measurement":[55,140],"likely":[56,141],"reflected":[57,142],"retained":[58,143,175,281],"intracavitary":[59,282],"blood":[60,72,144,283],"(pseudothickening)":[61,284],"rather":[62,151,285],"than":[63,152,286],"true":[64,153,287],"proliferative":[65],"endometrium,":[66],"as":[67,210],"histopathology":[68],"confirmed":[69],"only":[70,260],"coagulated":[71],"and":[73,85,131,145,162,181,239,319],"necrotic":[74],"debris.":[75],"Case":[76],"presentation":[77],"A":[78,203],"36-year-old":[79],"woman,":[80],"treated":[81],"gonadotropin-releasing":[86],"hormone":[87,164,258],"agonist":[88],"cancer":[91,298],"2024,":[93],"presented":[94],"July":[96],"2025":[97],"acute":[99],"lower":[100],"abdominal":[101],"pain.":[102],"Gynecological":[103],"examination":[104],"revealed":[105],"dense":[106],"adhesions":[107],"approximately":[108],"2":[109],"cm":[110],"above":[111],"hymen,":[113],"cervix":[116],"not":[117],"visible.":[118],"Transvaginal":[119],"showed":[121],"a":[122],"72":[123],"\u00d7":[124,126],"42":[125],"50":[127],"mixed-echo":[129],"mass":[130],"mm.":[137],"The":[138],"19-mm":[139],"clots":[146],"within":[147,236],"obstructed":[149],"cavity":[150],"proliferation.":[155,289],"Serum":[156],"estradiol":[157,250],"was":[158,165,189,198,207,259],"<":[159],"15":[160],"pg/mL":[161],"follicle-stimulating":[163],"13.32":[166],"IU/L.":[167],"Multidisciplinary":[168],"surgical":[169],"exploration":[170],"included":[171],"adhesiolysis,":[172],"evacuation":[173],"blood,":[176],"cervical":[177],"canal":[178],"recanalization,":[179],"hysteroscopy,":[180],"curettage.":[182],"Postoperative":[183],"immunohistochemistry":[184],"(PAX-8-positive,":[185],"CK7-positive;":[186],"CK20-negative,":[187],"CDX2-negative)":[188],"consistent":[190],"origin;":[193],"definitive":[194],"exclusion":[195],"metastasis":[197],"limited":[199],"by":[200],"fragmented":[201],"specimen.":[202],"silicone":[204],"vaginal":[205,307],"mold":[206,308],"placed":[208],"postoperatively":[209],"individualized":[212],"measure,":[213],"gradual":[215],"tapering":[216],"over":[217],"10":[218],"months.":[219,246],"Menstruation":[220],"resumed":[221],"one":[222],"month":[223],"surgery,":[225],"resolution":[227],"dysmenorrhea.":[229],"Endometrial":[230],"thickness":[231],"decreased":[232],"5":[234],"1.5":[237],"months":[238],"stabilized":[240],"at":[241,244],"4":[242],"11":[245],"At":[247],"12-month":[248],"follow-up,":[249],"had":[251],"risen":[252],"44.67":[254],"pg/mL,":[255],"anti-M\u00fcllerian":[257],"0.17":[261],"ng/mL,":[262],"indicating":[263],"reserve":[267],"despite":[268],"partial":[269],"endocrine":[270],"recovery.":[271],"Conclusions":[272],"Apparent":[273],"survivors":[278,299],"may":[279,310],"reflect":[280],"obstruction":[291],"should":[292],"be":[293],"considered":[294],"female":[297],"pain":[302],"or":[303],"abnormal":[304],"bleeding.":[305],"Individualized":[306],"therapy":[309],"help":[311],"maintain":[312],"genital":[313],"tract":[314],"patency,":[315],"optimal":[317],"duration":[318],"patient":[320],"selection":[321],"require":[322],"further":[323],"study.":[324]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-10T00:00:00"}
