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Lithopedion.

C M Chang1, K J Yu, J J Lin

  • 1Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taiwan, ROC.

Zhonghua Yi Xue Za Zhi = Chinese Medical Journal; Free China Ed
|September 6, 2001
PubMed
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Lithopedion, a rare outcome of abdominal pregnancy, was incidentally discovered in a 76-year-old woman during surgery for cervical neoplasm. This "stone baby" was retained in the mother's body for approximately 50 years.

Area of Science:

  • Obstetrics and Gynecology
  • Pathology

Background:

  • Lithopedion is a rare complication of advanced abdominal pregnancy, typically discovered incidentally during unrelated surgical procedures.
  • Undiagnosed and untreated abdominal pregnancies can lead to fetal death and calcification, forming a lithopedion.

Observation:

  • A 76-year-old female patient presented with cervical neoplasm requiring a total abdominal hysterectomy.
  • During the surgery, a lithopedion was incidentally found within the abdominal cavity.
  • The patient reported a history of severe abdominal pain approximately 50 years prior, with a prior diagnosis of a "benign tumor".

Findings:

  • The incidentally discovered lithopedion indicates a retained calcified fetus from an abdominal pregnancy.
  • The case highlights the potential for long-term retention of a lithopedion within the maternal peritoneal cavity for decades.

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Implications:

  • This case underscores the importance of thorough diagnostic evaluation in cases of suspected advanced abdominal pregnancy.
  • The incidental finding of a lithopedion emphasizes the need for awareness among clinicians regarding rare obstetrical outcomes.
  • Long-term retention of lithopedion can have implications for patient health and surgical management.