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.