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Coexistent lithopedion and live abdominal ectopic pregnancy
Anthony Naju Massinde1, Richard Rumanyika, Hyunsoon Beatrice Im
1From the Department of Obstetrics and Gynecology, Bugando Medical Center and the Weill-Bugando University College of Health Sciences, Mwanza, Tanzania; and the Department of Obstetrics and Gynecology, Weill-Cornell Medical College, New York, New York.
Background:
Abdominal pregnancy is a rare, life-threatening variant of ectopic pregnancy, and thus its diagnosis and management remain controversial.
Case:
A multigravida was admitted for complaints of abdominal swelling that had been occurring for 2 years and symptoms of pregnancy in the 3 months before admission. Radiologic studies revealed a live intraabdominal pregnancy at 15 weeks of gestation with a concurrent lithopedion of advanced gestation. The patient underwent laparotomy, removing both fetuses; the placenta was left in situ. She was discharged 1 week later in good condition.
Conclusion:
The case of a concurrent lithopedion of advanced gestation and a live intraabdominal ectopic pregnancy was successfully managed.
