RT Journal Article SR Electronic T1 Operative laparoscopy in pregnancy for a large paraovarian cyst. JF Saudi Medical Journal JO Saudi Med J FD Prince Sultan Military Medical City SP 735 OP 737 VO 32 IS 7 A1 Rouzi, Abdulrahim A. YR 2011 UL http://smj.org.sa/content/32/7/735.abstract AB The use of operative laparoscopy for paraovarian cysts in pregnancy is relatively new. A 26-year-old primigravida at 20 weeks of gestation was discovered to have a 20 x 15-cm adnexal cyst during ultrasound. Laparoscopic excision of the 20 x 15-cm paraovarian cyst after aspiration of 2.5 L of fluids was performed without complications. The operative time was 60 minutes. The patient was released from the hospital less than 24 hours after surgery in good general condition. Follow-up in the outpatient clinic was satisfactory. The final histopathology confirmed the 20 x 15-cm paraovarian cyst. The patient delivered vaginally and spontaneously at term. Operative laparoscopy may be safe for removing large paraovarian cysts during pregnancy.