Unexplained peritonitis due to neisseria gonorrhoeae secondary to a sterile tubo-ovarian abscess

ABSTRACT

A 43-year-old woman presented to the surgical emergency department with acute abdominal pain associated with nausea, vomiting, constipation, fever and dysuria. Exploratory laparotomy was performed based on clinical diagnosis of acute appendicitis. Post-laparotomy, the diagnosis of pelvic disease [PID], left tuboovarian abscess and peritonitis due to Neisseria gonorrhoeae was made. The patient responded well to antibiotics and surgical management but was lost to follow-up