56 year old woman with increasing abdominal girth was found to have a large pelvic mass on physical exam and a marginally elevated CA-125. On CT-scan a 28 x 22 x 19 cm heterogeneous mass was seen replacing most  of the middle lower abdomen.

She underwent total abdominal hysterectomy with bilateral adnexectomy and resection of an abdominal mass attached to a thin stalk from the rectovaginal septae.