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

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