Struma ovarii is an uncommon and sometimes aggressive tumor that must be recognized from the early beginning in order to be treated properly. We want to report a case of a woman whose tumor was wrong labeled at first sight, but even redirecting the diagnosis afterwards and finding a good treatment, toxicity was unfortunately the cause of death. Further investigation on these tumors is necessary.A 57-year-old woman presented polyhypermenorrhoea associated with simple endometrial hyperplasia and bilateral adnexal images compatible with long-standing polycystic cells as the only personal history. No family history of cancer interest.