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Related Experiment Videos

Twin lithopaedions: a rare entity.

J M Mishra1, T K Behera, B K Panda

  • 1Post Graduate Department of General Surgery, VSS Medical College and Hospital, Burla, Orissa, India. kiranmoy123@yahoo.co.in

Singapore Medical Journal
|August 31, 2007
PubMed
Summary
This summary is machine-generated.

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This case report details a rare lithopaedion, or stone baby, diagnosed in a 40-year-old woman presenting with intestinal obstruction. Two calcified fetuses from a missed abortion were surgically removed, resolving the obstruction.

Area of Science:

  • Reproductive Medicine
  • Surgical Pathology

Background:

  • Lithopaedion, a rare complication of ectopic pregnancy, involves fetal death and calcification.
  • Approximately 300 cases of lithopaedion are documented globally.

Observation:

  • A 40-year-old woman presented with acute intestinal obstruction symptoms.
  • Past history of missed abortion eight years prior was initially deemed irrelevant.
  • Radiography revealed two abdominal masses and distended small bowel loops.

Findings:

  • Exploratory laparotomy identified strangulated small bowel attached to a mass behind the left ovary.
  • A five-month-old calcified fetus was recovered from this mass.
  • A second calcified fetus was found and removed from a similar mass in the right iliac fossa.

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Implications:

  • This case highlights the potential for long-term complications from neglected ectopic pregnancies.
  • Surgical intervention is crucial for resolving life-threatening conditions like intestinal obstruction caused by lithopaedion.
  • The successful removal of both fetuses underscores the importance of thorough investigation in cases of recurrent abdominal issues.