Introduction/Background A 41 year old female presented with gradual abdominal distension. She also underwent cytological examination of ‘abdominal fluid’ before presentation which was negative for malignant cells.

MRI scan reported a predominantly cystic complex mass with irregularly thickened walls and mural nodularity arising from the pelvis likely from the right adnexa and reaching the abdomen. Uterus was reported to be enlarged with multiple fibroids.

She was scheduled for surgical assessment on suspicion of early ovarian malignancy.

Methodology Unique port sites were employed to manage a large pelvic cyst occupying almost the entire pelvic cavity. After the introduction of the optical port higher than its usual supra-umbilical location, a lateral working port was inserted under vision and pelvic cyst dissected away from the anterior abdominal wall

Results We successfully excised the pelvic cyst that was seen originating from the uterine fundus, with virtually no spillage of the cystic fluid.

Conclusion The pelvic cyst was reported to be a benign uterine fibroid and the patient is well on follow up.

Disclosures None.