CC BY 4.0 · Rev Bras Ginecol Obstet 2019; 41(01): 059-061
DOI: 10.1055/s-0038-1676038
Case Report
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Lithopedion in a Geriatric Patient

Andrés Ricaurte Sossa
1   Department of Obstetrics and Gynecology, Hospital Universitario Departamental de Nariño, San Juan de Pasto, Colombia
,
Henry Bolaños
1   Department of Obstetrics and Gynecology, Hospital Universitario Departamental de Nariño, San Juan de Pasto, Colombia
,
Andrés Ricaurte Fajardo
2   Medical School, Pontificia Universidad Javeriana, Bogota, Colombia
,
Ángela Camila Burgos
3   Medical School, Universidad Cooperativa de Colombia, San Juan de Pasto, Colombia
,
Valentina Garcia
2   Medical School, Pontificia Universidad Javeriana, Bogota, Colombia
,
Paola Muñoz
4   Department of Surgery, Hospital Universitario Departamental de Nariño, San Juan de Pasto, Colombia
,
2   Medical School, Pontificia Universidad Javeriana, Bogota, Colombia
› Author Affiliations
Further Information

Publication History

17 September 2018

02 October 2018

Publication Date:
12 December 2018 (online)

Abstract

Lithopedion (lithos = rock and paidion = child) is a rare condition that only occurs in 1.5 to 1.8% of extrauterine pregnancies and in 0.00045% of all pregnancies. It consists of an ectopic pregnancy in which the fetus dies but cannot be reabsorbed by the mother's body, which then coats it in a calcium-rich substance. We present the case of a 77-year-old woman with an incidental diagnosis of a lithopedion, which had been retained in her left pelvis for presumably 40 years.

 
  • References

  • 1 Gutiérrez YJ, Alvir Alvaro A, Campillos Maza JM, Garrido Fernández P, Rodríguez Solanilla B, Castán Mateo S. Embarazo ectópico abdominal. Diagnóstico y tratamiento médico con metotrexato. Prog Obstet Ginecol 2011; 54: 257-260 Doi: 10.1016/j.pog.2011.02.017
  • 2 Vargas-Hernández VM, Hernandez Fierro MJR, Ventura Quintana V, Tovar Rodríguez JM. Embarazo ectópico abdominal: presentación de un caso y revisión de la literatura. Rev Chil Obstet Ginecol 2017; 82: 338-344 Doi: 10.4067/s0717-75262017000300338
  • 3 Atrash HK, Friede A, Hogue CJ. Abdominal pregnancy in the United States: frequency and maternal mortality. Obstet Gynecol 1987; 69 (3 Pt 1): 333-337
  • 4 Worley KC, Hnat MD, Cunningham FG. Advanced extrauterine pregnancy: diagnostic and therapeutic challenges. Am J Obstet Gynecol 2008; 198 (03) 297.e1-297.e7 Doi: 10.1016/j.ajog.2007.09.044
  • 5 Cunningham FG, Leveno KJ, Bloom SL. , et al. Ectopic pregnancy. In: Cunningham FG, Leveno KJ, Bloom SL. , et al. Williams Obstetrics. 25th ed. New York, NY: McGraw-Hill; 2018: 371-387
  • 6 Massinde AN, Rumanyika R, Im HB. Coexistent lithopedion and live abdominal ectopic pregnancy. Obstet Gynecol 2009; 114 (2 Pt 2): 458-460 Doi: 10.1097/AOG.0b013e31819ecc82
  • 7 Lachman N, Satyapal KS, Kalideen JM, Moodley TR. Lithopedion: a case report. Clin Anat 2001; 14 (01) 52-54 Doi: 10.1002/1098-2353(200101)14:1<52:AID-CA1009>3.0.CO;2-H
  • 8 Martínez Abreu J, Flores Iríbar A. Litopedion y embarazo ectópico: presentación de un caso. Rev Méd Electrón 2012; 34: 591-598
  • 9 Ede J, Sobnach S, Castillo F, Bhyat A, Corbett JH. The lithopedion - an unusual cause of an abdominal mass. S Afr J Surg 2011; 49 (03) 140-141
  • 10 Iregui Ceballos CL, Borbón Garzon A, Cerquera Cabrera F, García CJ. Litopedio. Diagnóstico por TC multicorte: reporte de un caso. Rev Colomb Radiol 2009; 20: 2594-2597
  • 11 Kuchenmeister F. Ueber Lithopädien. Arch Gynakol 1881; 17: 153-252
  • 12 Fagan CJ, Schreiber MH, Amparo EG. Lithopedion: stone baby. Arch Surg 1980; 115 (06) 764-766 Doi: 10.1001/archsurg.1980.01380060062018
  • 13 Burger NZ, Hung YE, Kalof AN, Casson PR. Lithopedion: laparoscopic diagnosis and removal. Fertil Steril 2007; 87 (05) 1208-1209 Doi: 10.1016/j.fertnstert.2006.11.065
  • 14 Passini Jr R, Knobel R, Parpinelli MA. , et al. Calcified abdominal pregnancy with eighteen years of evolution: case report. Sao Paulo Med J 2000; 118 (06) 192-194 Doi: 10.1590/S1516-31802000000600008
  • 15 Hadlock FP, Deter RL, Harrist RB, Park SK. Fetal biparietal diameter: a critical re-evaluation of the relation to menstrual age by means of real-time ultrasound. J Ultrasound Med 1982; 1 (03) 97-104 Doi: 10.7863/jum.1982.1.3.97
  • 16 Leke RJ, Nasah BT, Shasha W, Monkam G. Cephalopelvic disproportion at term involving a lithopedion: a case report. Int J Gynaecol Obstet 1983; 21 (02) 171-174 Doi: 10.1016/0020-7292(83)90057-7