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Herein, we present the case of a 36-year-old nulliparous woman with mild dysmenorrhea, diagnosed with a left endometrioma who underwent laparoscopic cystectomy. Laparoscopic findings confirmed an endometrioma with a normal fallopian tube in the left adnexa (Fig. 1a), and a hypoplastic ovary in the right adnexa (Fig. 1b). A balloon catheter was inserted into the uterus, and tube passage was verified using indigo carmine solution. The left fallopian tube was patent (Fig. 1c); however, the right
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