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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.
Obstetrics and Gynecology
|July 23, 2009
Summary
This case study presents a rare instance of concurrent abdominal pregnancy and a lithopedion, successfully managed through laparotomy. It highlights the complex diagnosis and treatment of these life-threatening ectopic pregnancy variants.
Area of Science:
- Reproductive Medicine
- Surgical Gynecology
Background:
- Abdominal pregnancy is a rare and dangerous form of ectopic pregnancy.
- Diagnosis and management of abdominal pregnancy are often controversial.
Observation:
- A multigravida presented with abdominal swelling and pregnancy symptoms.
- Radiologic studies confirmed a 15-week live intra-abdominal pregnancy alongside a lithopedion.
Findings:
- Surgical laparotomy successfully removed both fetuses.
- The patient recovered well with the placenta left in situ.
Implications:
- This case demonstrates successful management of a concurrent lithopedion and live intra-abdominal pregnancy.
- Highlights the importance of advanced imaging in diagnosing complex ectopic pregnancies.
