Background: Ovarian cancer is associated with significant morbidity and mortality. It may be asymptomatic in its early phase and even when patients do seek medical attention they often present with mild and non-specific abdominal symptoms including cramping, bloating or subtle urinary symptoms. Case Report: This case presents a rare presentation of ovarian cancer in a postpartum, pre-menopausal female. Conclusion: This case illustrates the importance of having a high index of suspicion for potential ovarian cancer in patients of any age presenting with a pelvic or adnexal mass.