Borderline ovarian tumors occur in about 10–16% of all epithelial ovarian tumors. However, it has a good prognosis when compared with other epithelial malignant tumors. Out of all the types, serous borderline tumor is the most common type, found bilateral in 30% of the cases. Management is tailored based on physical examination, radiological findings, and histopathology report. Even though the diagnosis is based on histopathological findings, pre-operative evaluation, especially in younger women, plays an important role in selecting less radical treatment. Here is a case of a borderline ovarian tumor, which was managed considering her age, marital, and fertility status.

Uterine rupture in pregnancy is rare and life-threatening. Myomectomy is one of the common procedures done to enhance success rates in the treatment of subfertile patients. The risk of scar rupture is very high during the third trimester. The rate of total uterine rupture has been reported about 0.07%. This patient was a 33-years-old, seeking motherhood after hysterectomy following a ruptured uterus in the third trimester. Invitro fertilisation stimulation was done, and the embryo transferred to a surrogate mother.