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Objective: Management of large ovarian endometriomas has been a potential challenge; be it laparoscopy, open approach or drainage of the cystic fluid. The present procedure has been carried out to benefit young yet to conceive patients to restore ovarian function and facilitate conception. Case series: 3 patients; one presented with history of increasing abdominal girth, pain and infertility; the other with history of loose motion and acute abdominal pain; the third patient had complaints of abdominal pain and infertility. Radiological investigations revealed large cysts in the right and left ovary in the first and third patients respectively; bilateral complex cystic lesions in the second patient. The tumour markers were moderately high (endometriosis); imaging showed benign appearance. Ultrasound-guided drainage of the chocolate-coloured cystic fluid was done using a pigtail catheter. Postoperative period was uneventful. Conclusion: Minimally invasive treatment of endometrioma which benefits infertile or unmarried patients by preserving the ovaries and fertility henceforth.

Minimally Invasive Approach in Treating Large Ovarian Endometrioma