An Unusual Vascular Injury during Laparoscopic Bilateral Salpingo Oophorectomy for Dermoid Cyst in A Patient with Cirrhosis of Liver

Background: Laparoscopic surgery is a modern, minimally invasive surgical procedure performed in the abdominal cavity. In ths procedure, a small incision is made and a thin tube (Trochars) called a laparoscope is inserted into the abdomen. Inside the laparoscope is a camera through which the surgeon can view the inside of the abdomen. Several additional small incisions can be made for the procedure, which are used according to the surgeon's needs. This approach reduces recovery time, minimizes pain and leaves minimal scarring. The purpose of the study to disseminated our knowledge and experience of clinical characteristics, presentation and management regarding the mentioned case report for the readers as future references. Case Presentation: A British woman in her early 50’s was referred to the Department of Gynaecology of for an incidental finding of pelvic mass on an ultrasound scan which she has been routinely having on a 6-monthly basis for surveillance of her liver condition. She was known to have chronic liver disease with portal hypertension with scarred cirrhotic liver for a few years. On further evaluation, the adnexal mass was noted to be a Dermoid cyst of 10x 8.1 x 7.5 cm on an MRI scan with normal Ca-125 tumour marker. At her preoperative assessment, apart from chronically raised Bilirubin, which was consistent with her chronic Liver disease, she was scheduled for a laparoscopy and bilateral salpingo-oophorectomy for dermoid cyst. Cystectomy was performed with minimal access surgery followed by planned mini-laparotomy for cyst retrieval. The postoperative recovery was uneventful, she was discharged and contacted with histology reports confirming dermoid cysts. Conclusion: Anticipation of possibe complications in minimally invasive surgery, especially in patients with comorbidities, rapid identification, prompt management and a multidisciplinary approach can prevent mortality and reduce morbidity related to laparoscopy. Chatt Maa Shi Hosp Med Coll J; Vol.25 (2); July 2026; Page 120-124