Case Report : A 52 year old multiparous female presented to our Outpatient department with complaints of occasional right sided pain abdomen for 2 years , which has been aggravated for the past 2 months.No other specific complaints . Bowel and bladder habits normal. She was a known case of irritable bowel syndrome for past 9 years on treatment. No other major illness or surgeries in the past. Examination of her systems were within normal limits and vaginal examination revealed a fullness in the Right fornix which was cystic to firm in consistency , and with normal sized uterus . Basic investigations were done which was within normal limits .