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Introduction ? Infected endometriotic cyst is a rare complication with incidence of around 17%. My case presents de novo primary ovarian abscess within an endometrioma in the absence of any risk factor. Aims & Objectives ? Best possible approach and management of infected endometrioma with the challenge of preserving fertility in a woman desirous of a future pregnancy. Material & Methods ? A 36 yrs lady, P1L1 presented in OPD with high grade fever and pelvic pain for 5 days. Clinically she was febrile with tachycardia and no signs of peritonitis on abdominal examination. Her blood examination showed neutrophilic leukocytosis with raised CRP. Imaging (USG and CT scan) studies of pelvis showed presence of left hemorrhagic cyst (9x7 cm) suggestive of endometriosis with no pelvic collection. Patient underwent emergency laparoscopy. Adhesiolysis and left sided cystectomy was performed. Thick creamy white purulent material from cyst showed presence of Morganella. Cyst wall histopathology confirmed endometriotic cyst. Results ? Patient recovered well and discharged on post operative day 3 with sensitive antibiotic and put on GnRH agonist. Conclusion ?Timely laparoscopic management in a case of infected endometriotic cyst presented with sepsis is an ideal approach for early recovery of the patient. My case is an exceptional case of de novo infected endometriotic cyst without any risk factors possibly the first case in literature to my knowledge.