Peritonitis pelviana secundaria a malformación ginecológica en ni？a de 13 a？os. Presentación de un caso

a patient was presented in pediatric age with history of previous health with abdominal pain during several days, vomiting and high fever. at physical examination, we found a slightly distended abdomen mainly in the hypogastric region painful when coughing. at palpation a significant peritoneal reaction is seen, diagnosing acute abdomen picture for peritoneal picture, an urgent exploring laparotomy was performed with presumptive diagnosis of perforated acute appendicitis, it was documented the presence of gynecological malformation consistent in two separate uteri and a vaginal duplication, the vaginal abnormality was corrected, the patient was discharged from hospital and after a menstrual cycle she was evaluated evolving adequately and uneventfully.