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Presurgical management of dysmenorrhea and endometriosis in a patient with Mayer- Rokitansky-Kuster-Hauser syndrome Jason E. Elliott, M.D., Hanin Abduljabar, M.D., Margaret Morris, M.D. Fertility and Sterility Volume 96, Issue 2, Pages e86-e89 (August 2011) DOI: /j.fertnstert Copyright © 2011 American Society for Reproductive Medicine Terms and Conditions
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Figure 1 Pelvic ultrasound images. (A) Transverse view of a presumed left paraovarian cyst posterior to the bladder; and (B) complex, isoechoic mass thought to represent the right ovary and hematometra. Fertility and Sterility , e86-e89DOI: ( /j.fertnstert ) Copyright © 2011 American Society for Reproductive Medicine Terms and Conditions
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Figure 2 Pelvic MRI images. (A, B) Sagittal view. T2 Fast Relaxation Fast Spin Echo-Fat Saturation (FRFSE-FATSAT). (C, D) Coronal view. T1 Fast Spin Echo-Fat Saturation (FSE-FATSAT) after gadolinium. B = bladder; C = multicystic mass; E = endometrioma/hematosalpinx; LO = left ovary; P = pubic symphysis; R = rectum; RO = right ovary. Fertility and Sterility , e86-e89DOI: ( /j.fertnstert ) Copyright © 2011 American Society for Reproductive Medicine Terms and Conditions
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Figure 3 Laparoscopic images. (A) Midline uterine (Wolffian) remnant with bilateral fibrous bands and endometrioma complex; (B) normal left ovary/fallopian tube with midline uterine (Wolffian) remnant and left fibrotic band; and (C) right fibrotic band ending in fibrotic uterine horn on pelvic sidewall and right fallopian tube. Asterisk (∗) indicates bilateral fibrotic bands; long arrow indicates endometrioma/right ovary; arrowhead indicates midline uterine/Wolffian remnant. FT = left fallopian tube; LO = left ovary; U = right fibrotic uterine horn. Fertility and Sterility , e86-e89DOI: ( /j.fertnstert ) Copyright © 2011 American Society for Reproductive Medicine Terms and Conditions
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Figure 4 Gross pathology specimen. Asterisk (∗) indicates bilateral fibrotic bands; arrowhead indicates midline uterine/Wolffian remnant. P = paratubal cyst; U = fibrotic uterine horns. Fertility and Sterility , e86-e89DOI: ( /j.fertnstert ) Copyright © 2011 American Society for Reproductive Medicine Terms and Conditions
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