Figure 1. (Case 1). (A) MRI findings (T2-weighted imaging, sagittal plane) revealed vaginal aplasia and rudimentary uterus. Mayer-Rokitansky-Küster-Hauser syndrome was diagnosed. (B) Schematic representation of the genital organs seen in Case 1. (C) Intraoperative findings revealed that blood vessel damage could be avoided by advancing the scope to the blind end of the vagina between the bladder and rectum and then bluntly dissecting the connective tissue between the bladder and rectum in the direction of the light. (D) Use of the light of the laparoscope as a landmark for blunt dissection of the connective tissue between the bladder and rectum from the vaginal side.