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Aim: In the rare cases, the success of therapy is determined by early diagnosis. The aim of this paper is to illustrate the importance of judicious management of these cases by the family doctor. Methods: We present the case of a 12 year-old girl, with class II obesity, presenting with abdominal pain.The symptoms, according to the mother, started 2-3 days ago. But, by discussing directly to the child, we discovered that these symptoms began about 1 month ago. The clinical exam was unremarkable. We decided to perform an abdominal ultrasound at once, supplemented by laboratory tests afterwards. Results: On the ultrasound exam we detected a relatively rounded transonic, abdomino-pelvic mass, the outline without a Doppler signal, about 13 cm in diameter. In order to clarify the diagnosis, we have directed the patient for specialist consultation. The CT exam confirmed the giant cystic tumor. The treatment was surgical: laparoscopic right para-ovarian cystectomy; histopathology was serous cystadenoma. Evolution was favorable, early detection and rapid treatment thus prevented a series of complications. The particularity of this case was the camouflage of a rare diagnosis in children by nonspecific, banal symptoms. Conclusions: The management of anamnestic and clinical data, the possibility of performing early extensive work-up in the general practitioner's office, attests to the important role of the family doctor in resolving the case early, before complications occur. Direct communication at the level of understanding of the young patient should be a desideratum of each consultation. [ABSTRACT FROM AUTHOR]