A 63-year-old woman with a rare pelvic tumor is presented as an example of an unusual clinical complaint for this neoplasm. The patient's original complaint was lower leg pain with swelling. Deep venous thrombosis was identified and ancillary studies confirmed the presence of a pelvic mass. Histopathologic diagnosis was a uterine tumor resembling ovarian sex cord tumor. This case illustrates the importance of considering a diagnosis of a pelvic tumor with a complaint of deep venous thrombosis.
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