Introduction: Neuroendocrine tumors of the female genital tract, either primary or secondary are rare. Ovarian metastasis from a neuroendocrine tumor in particular is a rare event with about 60 cases cited in the literature. Ovarian metastases are bilateral in approximately 70% of cases. Case Report: A 50 year old female presented with pain abdomen and CT abdomen revealed left ovarian cyst. During laparotomy, an ileal growth was identified. Ileal resection, anastomosis and bilateral salpingoophorectomy were done. Conclusion: Unilateral ovarian metastasis, though a rare event, is a critical issue in the management of neuroendocrine tumors. We present this case in view of its rare association.