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Updated: Jul 1, 2026

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy
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Lithopedion. A case report.

R Shah-hosseini, J R Evrard

    The Journal of Reproductive Medicine
    |February 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    A rare lithopedion case involved a fetus surviving 15 weeks. This lithopedion was discovered five years after an incomplete abortion and infertility treatment.

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    Area of Science:

    • Reproductive Medicine
    • Gynecology
    • Pathology

    Background:

    • Lithopedion, a rare complication of pregnancy, occurs when a fetus, typically beyond the first trimester, dies and becomes calcified within the abdominal cavity.
    • This case highlights a lithopedion developing after an initially unrecognized advanced intrauterine pregnancy complicated by infertility and tubal surgery.

    Observation:

    • A patient with a history of infertility underwent tuboplasty, subsequently becoming pregnant.
    • The pregnancy resulted in an incomplete abortion, with diagnostic procedures failing to identify fetal or placental remnants.
    • Five and a half years later, a lithopedion was incidentally discovered during a second laparotomy.

    Findings:

    • The lithopedion contained a fetus that had survived to approximately 15 weeks' gestation.

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    Published on: September 13, 2022

  • The prolonged presence of the calcified fetus within the abdominal cavity without significant complications was noted.

    • Implications:

    • This case underscores the potential for advanced lithopedion formation even after interventions for incomplete abortion.
    • It emphasizes the importance of considering lithopedion in cases of unexplained abdominal masses or chronic pelvic pain in women with a history of pregnancy.
    • The successful management and discovery highlight advancements in diagnostic imaging and surgical intervention for rare gynecological conditions.