Adnexa masses occur in one out of two hundred pregnancies
(1). Many are benign ovarian cysts diagnosed in women
during antenatal care and managed conservatively with success.
Occasionally, ovarian accidents occur that necessitate
emergency surgeries. However, in women, unbooked during
pregnancy, presentation to hospital may occur for the first
time in the puerperium and it may pose a diagnostic challenge.
We present the case of a 33-year old multipara who
presented with acute abdomen in the puerperium. The initial