PMC5969512_01
Diagnostic laparoscopy showed Mullerian remnants in the form of uterus (U), cervix, two fallopian tubes (F), and two gonads (G).
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Diagnostic laparoscopy revealed midline abnormal structures in the form of uterus and cervix with two gonads attached to fallopian tube on each side (Fig. 1).
First stage Fowler Stephen procedure, in which clipping (C) of the gonadal (G) vessel was done allowing the testis (T) to receive blood supply from the artery of the vas only.
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Clipping of the gonadal vessels was done using two Hem-o-lok polymer ligating clips in each side and testes were left in the abdominal position (Fig. 2).
Prentiss's maneuver, the uterus (U) appeared in the midline without splitting with the cord and fallopian tube (C) getting out lateral to the medial umbilical ligament (M) with the testis (T) attached.
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The testis was grasped and replaced in the scrotum without any tension on the cord (Fig. 3).