Recurrent Tubo-Ovarian Abscesses in a Non-sexually Active Adolescent: A Case Report and Review of Atypical Risk Factors

Tubo-ovarian abscesses (TOAs) are serious infections that typically arise in the context of pelvic infections. While they are most often linked to specific risk factors, their occurrence in non-sexually active individuals is uncommon and presents unique diagnostic and management challenges. This case describes a 14-year-old adolescent with recurrent TOAs. She presented with abdominal pain, fever, and laboratory findings suggestive of infection. Imaging confirmed the presence of a pelvic abscess, requiring a combination of antibiotics and procedural intervention. A thorough evaluation did not reveal any clear predisposing factors. Her condition improved with treatment, and follow-up care was arranged to monitor for recurrence. This case highlights the importance of considering TOA in the differential diagnosis of abdominal pain, even in patients without commonly associated risk factors. Early recognition and a multidisciplinary approach are essential for effective management and improved outcomes.