eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2016-04-25 4 3 91 93 10.12691/ajmcr-4-3-5 AJMCR2016435 article Ahmed Monier Sherif dr_amas@hotmail.com 1 John Feldman 1 Rajendra Kedar 1 Todd Hazelton 1 Radiology Department, University of South Florida, Tampa, USA Colovaginoplasty is a surgical technique using a segment of the colon along its vascular pedicle to form neovagina and its lining. This surgery is usually performed on women with androgen insensitivity syndrome, congenital adrenal hyperplasia, vaginal agenesis, müllerian agenesis, and in sex reassignment surgery. We report a case sigmoid diverticulitis in a 64 years old female with history of colovaginoplasty transgender surgery using sigmoid colon. The literature is reviewed, and MRI imaging findings are highlighted. http://pubs.sciepub.com/ajmcr/4/3/5/ajmcr-4-3-5.pdf Neovaginal construction Magnetic Resonance Imaging Transgender surgery Colonic diverticulitis