Dermoid cyst in postmenopausal women is a rare entity. It is seen most commonly in young reproductive age group. It constitutes about 10 to 20% of all ovarian tumors in pregnancy. Chance of malignancy is about 1-2%, torsion is common.Here, we have presented an unusual case of dermoid cyst in a postmenopausal woman who presented with complaints which were not directly related to the cyst. A 16-week mass per abdomen was not bothering the patient at all, rather she presented in the OPD with a mass coming out per vaginum, which was a third degree uterocervical descent. Patient was posted for vaginal hysterectomy and the cyst was removed perabdominally.
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