RECURRENT CHORIOAMNIONITIS AND 2ND-TRIMESTER ABORTION BECAUSE OF AN ENTEROUTERINE FISTULA

Background: Chorioamnionitis, a common cause of second-trimester abort ion, is usually secondary to an ascending infection. Recurrent chorioa mnionitis with second-trimester abortion secondary to an occult entero uterine fistula has not been reported previously. Case: A 26-year-old Indian woman, para 0-0-2-0, presented with two spontaneous second-trim ester losses. Her third pregnancy carried to 24 weeks, but she deliver ed after the development of pneumonia, bacteremia, preterm labor, and chorioamnionitis. The patient passed melena containing blood clots aft er the delivery, After the last pregnancy, laparoscopy and laparotomy revealed an ileal-uterine fistula and a foreign body (necrotic cartila ge). The blind loop of bowel was resected and the fistulous tract exci sed. Conclusion: Our patient's recurrent pregnancy wastage was caused by chorioamnionitis secondary to an enterouterine fistula resulting fr om foreign body ingestion. A complete reversal of this problem is anti cipated.