Tubo-ovarian abscess in a female virgin with partially imperforated hymen

Abstract EN

A tubo-ovarian abscess is a serious complication of pelvic inflammatory disease; it is very rare among sexually inactive females.

We report a case of tubo-ovarian abscess in a twelve-year-old sexually inactive female.

The first menarche was two months prior to her presentation with acute abdominal pain and fever and no evidence of acute appendicitis.

The patient had a partially imperforated hymen.

Laparoscopy revealed large bilateral tubo-ovarian abscess.

Unilateral salpingo-oophorectomy and appendectomy were performed.

Postoperatively the patient received an antibiotic course.

Early diagnosis and intervention are essential to prevent further complications, such as infertility and ectopic pregnancy.