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Pregnancy luteomas are rare, nonmalignant lesions thought to be caused by hormonal changes during pregnancy. Granulosa cell tumor is a rare type of ovarian cancer; 10% occur during pregnancy and typically present with elevated inhibin levels. Herein, we present a case of a pregnant female with a pelvic mass and elevated inhibin B suggestive of a granulosa cell tumor, yet with final pathology consistent with a pregnancy luteoma., Competing Interests: The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: RM receives research grants under Angle Inc and consulting/speaker fees from Fujirebio Diagnostics Inc. No disclosures from other authors. All fees are outside of submitted work and the authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2023 The Author(s).)