Calcified abdominal pregnancy with eighteen years of evolution
case report
Keywords:
Abdominal pregnancy, Lithopedion, Lithokelyphopedion, Fetal deathAbstract
CONTEXT: The lithopedion (calcified abdominal pregnancy) is a rare phenomenon and there are less than 300 cases reported in the medical literature. CASE REPORT: In this case, a 40 year-old patient had had her only pregnancy 18 years earlier, without medical assistance since then. She came to our hospital with pain and tumoral mass of approximately 20 centimeters in diameter. Complementary examinations (abdominal X-ray, ultrasonography and computerized tomography) demonstrated an extra-uterine abdominal 31-week pregnancy with calcification areas. Exploratory laparotomy was performed, with extirpation of a well-conserved fetus with partially calcified ovular membranes.
Downloads
References
Costa SD, Presley J, Bastert G. Advanced abdominal pregnancy. Obstet Gynecol Surv 1991;46:515-25.
Frayer CA, Hibbert ML. Abdominal pregnancy in a 67-year-old woman undetected for 37 years: a case report. J Reprod Med 1999;44:633-5.
Irick MB, Kitsos CN, O'Leary JA. Therapeutic aspects in the management of a lithopedion. Am Surg 1970;36:232-4.
Spiritos NM, Eisenkop SM, Mishell DR. Lithokelyphos: a case report and literature review. J Reprod Med 1987;32:43-6.