We present a case of a female patient, who was referred to our department because of pain in the lower abdomen lasting for a couple of days. The preoperative abdominal computed tomography showed a well defined irregularly shaped hyperdense formation in the pouch of Douglas with no contrast uptake. The patient underwent a laparoscopy with a consequent conversion to the lower median laparotomy with the removal of the tumor. The pathohistologic diagnosis was an ovarian fibroma with an extensive infarction and stromal hemmorhage.