PMC6113953_01
Imaging findings of the genital organs. Magnetic resonance imaging (MRI) findings, sagittal section. (A) The uterine cervix is small (yellow arrow) and the vagina is unobservable (pink arrows). (B) The body of the uterus and bilateral adnexa were normal, but the uterine cervix was thin and short, so bilateral uterosacral ligaments approached toward the midline (black arrows). (C) The uterus was opened at the fundus using a monopolar needle and an Endo Onion was inserted (black arrow) and strongly pushed inferiorly to reveal the uterine cervix.
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F1
A transrectal ultrasound and magnetic resonance imaging showed a normal body of the uterus, the endometrium, and ovaries; however, the uterine part of the cervix was observed to be tapering at the inferior end (Figure 1A). The body of the uterus and bilateral adnexa were normal; however, the uterine part of the cervix was thin and short (Figure 1B). Tokyo, Japan) was inserted and strongly pushed inferiorly (Figure 1C). This maneuver made it easy to reveal and open the external os.
Surgical maneuver schemas. (A) Prior to the operation, the uterine cervix is small and the vagina is unobservable. The neovagina was manually constructed between the bladder and the rectum, and toward the uterus. (B) The Endo Onion was inserted into the uterus and strongly pushed inferiorly to reveal the uterine cervix. (C) The uterus was sutured with the peritoneum.
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F2
The endometriotic lesion was electrocauterized by an argon plasma coagulator. The blood loss was 100 mL and surgical time was 2 hours and 5 minutes (Figure 2).