After a fall, an 80-year-old woman was incidentally found to have an 11-cm cystic ovarian mass when computed tomography was performed. CA125 was within normal range. Family history was negative for any breast or ovarian cancers. The patient's medical history was significant for a large asymptomatic ventral hernia, hypertension, dementia, hypothyroidism, history of deep vein thrombosis with permanent inferior vena cava filter, thrombocytopenia (baseline platelet count, 90 to 100), and irregular heartbeat requiring pacemaker placement. Her surgical history included a hysterectomy with left salpingo-oopherectomy to treat menorrhagia. The patient consented to undergo diagnostic laparoscopy, pelvic washings, and removal of the adenxal mass. Because of the asymptomatic nature of the patient's hernia and her medical comorbidities, it was decided that primary repair of the ventral hernia would not be pursued.
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