Ovarian fibroma represents 4% of all ovarian neoplasm’s occurring mostly in peri and post menopausal women [1,2]. They are often difficult to diagnose preoperatively and commonly misdiagnosed as uterine fibromas, because of their same pathology, complications, clinical and ultrasonic features [3,4], or sometimes as malignant ovarian tumors because of accompanying ascites and increased serum CA-125 level [5]. This is rare case of ovarian fibroma misdiagnosed as uterine fibroid in young women. This case highlights the diagnostic difficulties that may be encountered in the management of ovarian fibroma including potential misdiagnosis of the tumor as uterine fibroid that may influence the surgical approach.