It  is a rare event to  see in our setting

Very Rare. I found one case last year in a 82 year old woman. The large ovarian tumours were above the pelvic brim, and therefore not in contact with the uterine fundus

Thank you Joseph.its rare

Its rare. I have not encounter this. Ovarian tumour in postmenopausal age group is malignant until proven otherwise. What do you think?

Fauziah we do get many cases of huge ovarian tumours in perimenopausal and even some in menopausal age groups.i  investigate thoroughly with CT,MRI,Tumour markers to see  nature of the tumour.frozen section gives an idea if benign or malingnant and the surgical treatment modified accordingly. largest tumour of ovary in a perimenopausal woman of 20 kg.its published copy is in my article statistics, but this was huge with massive prolapse of uterus in postmenopausal woman 78 yrs old.operated successfully.her frozen section and final histopathology report showed benign nature.thank you.

Thank you Fauziah. i viewed some of your articles its good work.

No experience in Obstetrics and Gynaecology at the postgraduate level. I am a community Health Physician. However from my little experience in O&G, it is not common, I did not see any case.

I agree with Margaret M Mezie-Okoye that  it is rare

Its rare. I saw three cases. Actually, I believe ascitis is responsible for it in post menopausal weak women. All cases had ascitis. 

sending copy of case report.

I have written a case report with review of a huge ovarian teratoma of 39 inches diameter containing 24 litres of fluid with "spherules" of a 55 year-old-woman. She did not have prolapse. "Spherules in dermoid" is an another interesting topic to be revealed later in text books. Those having weakness of pelvic connective tissue could have genital prolapse if superadded by pelvic pressure such as large ovarian tumours or persistent ascites.