Laparoscopic management of enlarged serous cystadenoma in advanced pregnancy.

Operative laparoscopy is changing the methods of treatment of the acute abdomen in advanced pregnancy. Diagnostic capabilities in identification of benign disease are becoming more sensitive with the use of advanced imaging ultrasound scanning and magnetic resonance imaging. This has changed the deciding factors in the handling of advanced-size adnexal masses with minimally invasive techniques for the conservative management and treatment in advancing pregnancies. This case shows the successful removal of a 6198-g ovarian serous cystadenoma by use of minimally invasive techniques.