PMC7674157_01
PMC7674157_02
Longitudinal Ultrasound images of both testes after orchidopexy, show small, heterogeneous and atrophic testes.
gr1.jpg
PMC7674157_02_gr1.jpg
fig0005
On the ultrasound exam, both testes were in the scrotum but, were smaller than normal with heterogeneous texture and seemed to be atrophic [Fig. 1].
(a) Axial T1 weighted MRI image shows a hypoplastic prostate (arrow).. (b) Axial fat sat T2 weighted MRI image shows a tubular cystic structure belonging to seminal vesicles (arrow).. (c) Sagittal T2 weighted MRI image shows an approximately 8 mm lumen width structure in the posterior of the bladder parallel to the bladder contour. The thickened wall around it compatible with the uterine wall.. (d) Coronal fat sat T1 weighted post contrast MRI image shows uterus (read arrow) and prostate (black arrow).
gr2.jpg
PMC7674157_02_gr2.jpg
fig0010
A tubular cystic structure belonging to seminal vesicles was observed adjacent to the hypoplastic prostate [Fig. 2a and b]. It is distinguished by thin septation in the middle of a cystic structure that surrounds the bladder all around and ends in the anterior, compatible with Mullerian duct anomaly [Fig. 2c and d].
(a) Intraoperative picture showing the posterior wall of the uterus and the right fallopian tube.. (b) Intraoperative picture showing the anterior wall of the uterus, ends with a blind ended vagina behind the urinary bladder.. (c) Intraoperative picture showing the uterus with both fallopian tubes. The peritoneal tissues are pulled cranially with forceps.
gr3.jpg
PMC7674157_02_gr3.jpg
fig0015
The patient was operated in the urology section by a qualified urologist and Mullerian duct remnants were resected [Figs. 3a-c and 4].
The picture shows surgically excised Mullerian duct structures.
gr4.jpg
PMC7674157_02_gr4.jpg
fig0020
The patient was operated in the urology section by a qualified urologist and Mullerian duct remnants were resected [Figs. 3a-c and 4].