ABSTRACT
An elderly, Bahraini woman, with an ascitis, was referred to the Gynecology Outpatient to exclude pelvic pathology. She had an abdominal MRI report suggestive of endometrial hyperplasia. The patient was admitted for endometrial biopsy and cervical polypectomy. The following morning after the biopsy she developed massive deep venous thrombosis requiring insertion of inferior vena cava filter. The histopathology of the biopsy was suggestive of papillary serous carcinoma. After her family was informed, they requested that she should not be told the diagnosis. The treatment was discussed with the anesthetist and oncologist who recommended that in the light of her advanced disease and high surgical risk a course of palliative radiotherapy was advisable