Sertoli leydig cell tumor with rare form of presentation

Ovarian sex cord stromal cell tumors occur most frequently in the third and fourth decades of life. 75% of these tumors are seen in women younger than 40 yrs. These neoplasms are extremely rare and account for < 0.5% of ovarian cancers. We present a case of 30 yr. old multiparous lady, with abdominal distension and pain, diagnosed with bilateral solid ovarian tumor and underwent staging laparotomy followed by total abdominal hysterectomy with bilateral salpingo oophorectomy and infracolic omentectomy. HPE revealed sertoli leydig cell tumor of intermediate differentiation on both sides. We present this case here for its rare presentation