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Ovarian immature teratoma is an uncommon tumor and its association with pregnancy is rarer still. At times it may be asymptomatic and lie undetected till full term pregnancy. The present rare case is being reported because of its unusual presentation where the female presented with immature ovarian teratoma with full term pregnancy and omental metastasis. Histopathological diagnosis with vigilant examination of the sections is essential for the grading of the tumor and determining the prognosis of this aggressive tumor. The management of this malignancy is crucial depending on gestational age, patient decision and associated fetal risks. The case also highlights that it is essential to assess all the pregnancies during antenatal period with ultrasonography and fetal delivery of any unsuspected genital organ tumor.