Spontaneous Vaginal Drainage of a Pelvic Abscess: An Unusual Presentation of Perforated Appendicitis

We report a child with the unusual presentation of spontaneous vaginal drainage of a pelvic abscess after nonoperative management of perforated appendicitis. Although drainage through the rectum has been previously described, this is the first report of spontaneous transvaginal drainage of a pelvic abscess from appendicitis in a child.