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  Vol. 139 No. 7, July 2004 TABLE OF CONTENTS
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Image of the Month—Diagnosis

Correspondence: Scott R. Steele, MD (docsteele@hotmail.com).

Arch Surg. 2004;139:798.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Answer: All of the Above

Figure 1. Groin mass containing the right ovary and fallopian tube.


 
Figure appears in full text version.
Figure 1.


Figure 2. Right ovary and fallopian tube dissected free. Notice the structures lying above the defect in the external oblique aponeurosis. The ruler is in centimeters.


 
Figure appears in full text version.
Figure 2.


Mayer-Rokitansky-Küster-Hauser syndrome, or complete müllerian agenesis, is a congenital disorder first described by Mayer in 1829.1 It is thought to be secondary to an absence or incomplete canalization of the vaginal plate2 and does not appear to represent a single genetic defect. Patients classically present with primary amenorrhea in adolescence and are found to have an absent or a hypoplastic vagina on results of physical examination. Subsequent work-up demonstrates an absent or rudimentary uterus, most commonly with normal ovarian function. In this case, diagnostic laparoscopy at the time of initial operation demonstrated absence of a uterus, as well as the left ovary and fallopian tube adherent to . . . [Full Text of this Article]


RELATED ARTICLE

Image of the Month—Quiz Case
Scott R. Steele, Matthew J. Martin, Philip S. Mullenix, Michael A. Bidus, and Kenneth S. Azarow
Arch Surg. 2004;139(7):797.
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