Abstract
Pelvic inflammatory disease is an inflammation of the upper genital tract, mostly presenting in sexually active woman. Pyometra, a pus collection in the uterine cavity which cannot be drained, can occur in woman with PID.
An 8-year-old girl presented with persisting fever, weight loss and abdominal pain. Clinical examination showed an abdominal mass. Computed Tomography suggests a pyometrocolpos.
Gynecological infections should be included in the differential diagnosis of abdominal pain with fever in young girls. Thorough clinical examination, sampling and sufficient imaging should be included. Treatment of Pyometra exist off parenteral broad-spectrum antibiotics and if necessary chirurgical drainage.