• A ruptured tubo-ovarien abscess is a very rare cause of free air in the peritoneal cavity. • Tubo-ovarian abscess often affects women of reproductive age, which was not the case in our study. • Less than 10 cases are published in literature. • Rapid diagnosis and surgical treatment are crucial. • the most common etiological organisms are Escherichia coli , which were all facultative anaerobic.
Karoui et al. (Sun,) studied this question.