Introduction/Background Minimally invasive surgery is widespread used for the management of adnexal masses. However the main concern of minimally invasive surgery is dissemination of the abdomen and contamination to port sites. Sterile endobags are used in order to prevent dissemination. There are commercial endobags which can be as much as 15 cm in diameter. The removal of bigger masses may be problematic since the mass may not fit into bags. Controlled rupture of the masses which are strogly supposed to be benign was shown not to have adverse outcome. However a mass must be removed in sterile bags which has suspicion of malignancy.

Methodology In this we present management of a huge adnexal mass using flouroscopy C-Arm cover bag. The patient admitted to our department with the diagnosis of adnexal mass. Ultrasonography revealed a multiloculated mass 17 cm in diameter. No ascites or distant metastasis was detected. Ca 125 level was 47. Laparoscopic exploration and salpingooferectomy was performed. Posterior colpotomy was performed for removal of the mass. A flouroscopy C- Arm bag was put into abdomen through colpotomy incision using straightened needle and theades. After taken into abdomen the needles were passed through abdominal wall and the threads was pulled for insertion of the bag through the colpotomy incision. The mass was put into bag and the needles were passed through the abdominal wall and the thread was brought outside the vagina for pulling back the bag. When the opening of the bag was taken outside the vagina the cyst was aspirated and the mass was removed without any contamination. Frozen section revealed borderline tumor and staging was performed laparoscopically.

Results Huge adnexal masses may be managed usign Flouroscopy C-Arm cover bag succesfully without any contamination

Conclusion Huge adnexal masses may be managed usign Flouroscopy C-Arm cover bag succesfully without any contamination