PMC4310097_01
Midline rudimentary uterus (black arrow) with fallopian tube on both sides. Both gonad at the two ends, vas can be identified (indicated by forceps tip) along the vascular pedicle. Line diagram (inset) showing the anatomical details of the case. (u = uterus, v = vagina, F. T. = fallopian tube, T = testis, dotted line showing vas deferens)
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F1
Subsequently the child underwent a second surgery through a pfannenstiel incision [Figure 1] and excision of Mullerian structures (uterus, F. The distal most part of the vagina was very close to the both vas deferens [Figure 1] so could not excised completely, we opened the vaginal cavity [Figure 3] and strip of the mucosa with preservation of the bilateral vas along with its vascular supply.
Excised uterus (blue arrow) along with the bilateral fallopian tube. Both testis separated (black arrows) from the Mullerian remnants
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F2
T. and proximal vagina) was performed [Figure 2].
Distal most part of the rudimentary vagina, the vaginal cavity opened (black arrow) to remove the mucosa
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F3
The distal most part of the vagina was very close to the both vas deferens [Figure 1] so could not excised completely, we opened the vaginal cavity [Figure 3] and strip of the mucosa with preservation of the bilateral vas along with its vascular supply.