<p><strong>Background</strong>: Ovarian choriocarcinoma is an infrequent entity of ovarian cancer. It is classified as gestational (GOC)and non-gestational ovarian choriocarcinoma (NGOC). NGOC is divided into two types and mixed. The incidence of GOC-1 is 369,000,000, while NGOC contributes to about 0.6% of malignant ovarian germ cell tumors.<br />
<strong>Case Report:</strong> 22-year-old nulligravida presented to ER with c/o heavy bleeding PV for 1 month with unstable vitals, CT scan 11/9/23- s/o? large sub serosal fibroid of size 10x7cm/? adnexal mass with vaginal metastasis. She was taken up for laparotomy to achieve hemostasis and intraoperatively 9*8cm solid, multinodular dark red mass replacing almost the entire right ovary with dense adhesions to the fallopian tube, uterus, and lateral pelvic wall, proceeded for adhesiolysis and right salpingo-oophorectomy. HPE S/O NGOC.<br />
<strong>Conclusion</strong>: NCGO mostly spreads to the adjacent organs, and often commonly metastasizes to distant organs, considered to have a poor prognosis compared to GCO.<br />
&nbsp;</p>