**2. Missed Fallopian tube abnormalities**

Tubal factor infertility accounts for nearly one-quarter of all cases of infertility [19]. The fallopian tubes may be abnormal in structure or function. Structural disorders can block the fallopian tubes. They include tubal scarring or blockage most commonly from pelvic infections, prior abdominal surgeries and endometriosis. Practically, many gynecologists are reluctant when reporting on diagnostic laparoscopy. Some perform a single puncture intraumbilical procedure that neglects an auxillary portal for proper grasping of the adnexa and thorough evaluation of the ovarian fossa. Most of them comment on tubal patency only and neglect tubal morphology, size, length and proximity to the pouch of Douglas. Rarely, they comment on the mesosalpnix and Wolffian duct remnants.

#### **2.1. What is the normal fallopian tube? It is a complex organ that should be**

