Torsion or rupture of an ovarian cyst may present as an acute abdomen. A case is presented where the diagnosis was made at laparoscopy and laparoscopic resection was done. Controlled aspiration of the cyst contents allowed the cyst to be easily removed from the abdomen.

Ovarian dermoid cysts may present as an emergency after torsion or rupture and from time to time general surgeons will encounter such a case. Laparoscopic management is beneficial and preservation of ovarian tissue and the fallopian tube is usually possible. We would recommend placing the cyst into a bag and externalizing it prior to the aspiration to avoid any risk of contamination.

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