Case history
A 16-year-old adolescent girl presented with persistent fever (up to 40 °C) with abdominopelvic pain, anorexia, and nausea. Laboratory data showed a white blood cell (WBC) count of 15.7×103/µL, 86%neutrophil count, a hemoglobin level of 10.5 g/dL, a platelet count of 285×103/µL and a C-reactive protein (CRP) level of approximately 15.2 mg/dL. The fever persisted despite the antibiotic treatment, which lasted for two weeks. Blood cultures performed on the day of referral were negative. She was a known case of cervicovaginal agenesis. She had undergone laparoscopic uterovaginal anastomosis with the placement of a polytetrafluoroethylene stent for the reconstruction of cervical agenesis and concomitant modified McIndoe vaginoplasty at the age of 11 years. One cm rectal injury occurred during vaginoplasty and was repaired primarily. Her menstruation was regular after surgery. She was under scheduled medical follow-up.