A 34-year-old woman presented to the hospital emergency department complaining of abdominal pain for four days, more so in the left iliac fossa, and six episodes of vomiting for one day. Physical and sonographic examinations revealed an inguinal hernia containing a twisted gangrenous ovary with fallopian tube and partially developed uterus. The patient underwent an emergency hernia exploration with left oophorectomy, repositioning of the uterus with a fallopian tube, and herniorrhaphy without complications. A preoperative diagnosis based on history, physical examination, and ultrasonography allows for accurate surgical planning and corrective surgery without complications.

Introduction: Preterm premature rupture of membranes (PPROM) is spontaneous rupture of the fetal membranes before 37 completed weeks and before the onset of labor. PPROM occurs in 3% of all pregnancies and is responsible for approximately one-third of all preterm deliveries. It leads to increase in perinatal morbidity and mortality.Aim: The present study aimed to characterize the microbiome of vaginal fluid, which will be helpful in the selection of empiric antimicrobial therapy.