Abstract The presented case is a primary parasitic myoma in a young virgin who worked as a resident in ICU of Benha university hospital. She came to my clinic with lower abdominal pain and swelling. MRI was done which revealed subserous anterior wall myoma 12 cm by 12 cm. The patient was operated upon and a large irregular myoma connected with the anterior uterine wall with a small pedicle. The interesting part in this case was the large nutritive vascular omental pedicle on the surface of the tumor. The vessels in the omental pedicle were larger than the internal iliac vessels.  2014 Production and hosting by Elsevier B.V. on behalf of Middle East Fertility Society.