Case Reports in Medicine tuboovarian abscess may also develop due to other rare causes including poor perineal hygiene, previous gynecologic surgery, coexisting genital malignancy, appendicitis, and diverticulitis [4–7]. The possibility of diverticulitis as an etiology of tuboo- varian abscess is not usually considered initially. Divertic- ulitis is usually observed in elderly population, but it may also be diagnosed in younger patients with less incidences. According to [10], the 55–66% of the women with divertic- ular disease were over 80 years of age and only 10% were younger than 40 years of age. Recently, the frequency of diverticular colonic disease increased in patients younger than 50 years of age. A 31-year-old woman was reported to undergo left salpingo-oophrectomy for a tuboovarian abscess, but she underwent a second surgery because of a recurrent pelvic abscess due to underlying diverticulitis which was undiag- nosed at the ﬁrst operation [11]. Diverticulitis with abscess formation can be very insidious, and reports of presentation as only chronic diarrhea and even brain abscess have been described [12]. A recent case of 63-year-old patient with diverticulitis misdiagnosed to have a primary gynecological abscess subsequently developed colonic perforation [13]. Pelvic pain, signs of infection, and mass at ultrasonog- raphy in the presented case easily made the diagnosis of bilateral tuboovarian abscess. Since the patient is virgin, rare causes of tuboovarian abscess were investigated. Computed tomography scan revealed the diagnosis of diverticulitis complicated by tuboovarian abscess [14]. Conservative man- agement with antibiotic therapy and percutaneous drainage resulted in signiﬁcant clinical improvement of the patient. Since the pelvic inﬂammatory infection is usually caused by the sexually transmitted microorganism N. gonorrhoeae and C. trachomatis, isolated microorganisms further conﬁrmed the diagnosis of abscess resulting from diverticulitis. 4. Conclusions Diverticulitis may be a reason for development of tuboovar- ian abscess in a virgin patient. Early recognition of the con- dition with percutaneous drainage in addition to antibiotic therapy helps to have an uncomplicated recovery. References [1] Y. Chan, W. Parchment, J. H. Skurnick, L. Goldsmith, and J. J. Apuzzio, “Epidemiology and clinical outcome of patients hospitalized with pelvic inﬂammatory disease complicated by tubo-ovarian abscess,” Infectious Diseases in Obstetrics and Gynecology, vol. 3, no. 4, pp. 135–139, 1995. [2] J. DeWitt, A. Reining, J. E. Allsworth, and J. F. 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