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© 2020 The Authors.Pneumoperitoneum observed on an X-ray or computed tomography (CT) picture points to a diagnosis of ruptured viscus and immediate surgery is warranted. An instance of tubo-ovarian abscess (TOA) providing with pneumoperitoneum is unusual. Very few instances being reported where in actuality the pneumoperitoneum is due to an abscess concerning the adnexa. We provide the scenario of a 17-year-old client just who given intense abdomen and raised inflammatory markers together with laparo