Neovaginal stenosis presenting as an abdominal mass.

Neovaginal reconstruction surgeries are associated with long-term complications. One such complication is restenosis. A 57-year-old woman with cecal neovaginal reconstruction after stenosis from vulvovaginal lichen planus 11 years previously presented with abdominal pain and mass. The mass was from distension of the neovaginal cecum attributable to accumulation of secretions secondary to neovaginal restenosis. This was successfully drained to relieve her symptoms. No current guidelines exist on managing or evaluating neovaginas for long-term complications, but annual speculum vaginal examinations may aid in diagnosing complications early.