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Details the case of a 30-year-old woman diagnosed with choriocarcinoma presenting as a vaginal tumor. Past medical history; Presenting signs and symptoms; Outcome.

A 13-year-old girl before sexual debut presented with lower abdominal pain and a positive urine pregnancy test. On admission her face was very pale, and a physical examination revealed an acute abdomen with rigidity and tenderness. She was in intermediate shock. Ultrasound examination showed presence of fluid arising from the posterior cul-de-sac up to the liver, consistent with a possible hemoperitoneum, and identified a 68x 78-mm mass in the right adnexa. Pure nongestational choriocarcinoma of the ovary is an extremely rare tumor, and most cases occur in children and adolescents.