Abstract
Red degeneration of uterine fibroids is a known complication during pregnancy, but is exceedingly rare in the postpartum period. We present the case of a postpartum female who developed acute abdominal pain, a palpable mass, and elevated tumor markers. Imaging raised suspicion for postpartum red degeneration of a uterine leiomyoma, undetected during antenatal scans. She underwent total abdominal hysterectomy with bilateral salpingectomy, and histopathology confirmed the diagnosis. This case highlights the diagnostic challenges associated with postpartum fibroid degeneration.