Gynaecology & Obstetrics

35 years old woman with H/O recurrent PID presents in emergency with sudden onset of abdominal pain with fever. She had her regular period 5 days back. Physical examination reveals abdominal tenderness with guarding and rigidity. Per speculum finding shows diy vaginal discharge. Per vaginal examination shows adnexal tenderness. Lab investigation shows increased TLC & increased ESR, Most probable diagnosis is -