Unexpected ovarian malignancy diagnosed after laparoscopic surgery

The main concerns for laparoscopic management of ovarian masses are unexpected malignancy and the spillage of the cyst content. Careful preoperative evaluation is important in proper patient selection. We report a case of unexpected ovarian malignancy managed by operative laparoscopy in a 29-year-old woman. The role of ultrasonographic and laparoscopic assessment and their limitations are discussed. The potential role of intraoperative laparoscopic ultrasonographic assessment of the ovarian masses is proposed.