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CC BY 4.0 · Rev Bras Ginecol Obstet 2019; 41(02): 129-132
DOI: 10.1055/s-0038-1676060
Case Report
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Lithopedion Causing Intestinal Obstruction in a 71-Year-Old Woman: A Case Report

Litopedia causando obstrução intestinal em idosa de 71 anos: relato de caso

Francisco Eliomar Gomes de Oliveira
1   Board of Directors, Hospital de Aeronáutica de Recife, Força Aérea Brasileira, Jaboatão dos Guararapes, PE, Brazil
,
Sandra Regina Alves dos Santos
2   Division of Medicine, Hospital Central de Aeronáutica, Força Aérea Brasileira, Rio de Janeiro, RJ, Brazil
,
Bruno Gomes Duarte
2   Division of Medicine, Hospital Central de Aeronáutica, Força Aérea Brasileira, Rio de Janeiro, RJ, Brazil
,
Alexandre Sabino Sisnando 
3   Division of Medicine, Fortaleza Health Squadron, Força Aérea Brasileira, Fortaleza, CE, Brazil
› Author Affiliations
Further Information

Publication History

22 July 2018

01 October 2018

Publication Date:
20 February 2019 (online)

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Abstract

Ectopic pregnancy is the leading cause of pregnancy-related death during the first trimester, and it occurs in 1 to 2% of pregnancies. Over 90% of ectopic pregnancies are located in the fallopian tube. Abdominal pregnancy refers to an ectopic pregnancy that has implanted in the peritoneal cavity, external to the uterine cavity and fallopian tubes. The estimated incidence is 1 per 10,000 births and 1.4% of ectopic pregnancies. Lithopedion is a rare type of ectopic pregnancy, and it occurs when the fetus from an unrecognized abdominal pregnancy may die and calcify. The resulting “stone baby” may not be detected for decades and may cause a variety of complications. Lithopedion is a very rare event that occurs in 0.0054% of all gestations. About 1.5 to 1.8% of the abdominal babies develop into lithopedion. There are only ∼ 330 known cases of lithopedion in the world. We describe a lithopedion that complicated as intestinal obstruction in a 71-year-old woman.

Resumo

A gravidez ectópica é a principal causa de morte materna no primeiro trimestre, e ocorre em 1 a 2% das gestações. Mais de 90% ocorrem nas tubas uterinas. Gravidez abdominal refere-se à gravidez ectópica implantada na cavidade peritoneal, externamente ao útero e às tubas uterinas. A incidência estimada é de 1 por 10 mil nascimentos e 1,4% das gravidezes ectópicas. A litopedia é um tipo raro de gravidez ectópica, e ocorre quando o feto de uma gravidez abdominal não reconhecida morre e se calcifica. O “bebê de pedra” resultante pode não ser detectado por décadas, e pode causar complicações futuras. A litopedia é um evento muito raro que ocorre em 0,0054% de todas as gestações. Cerca de 1,5 a 1,8% dos bebês abdominais se tornam litopédios. Existem somente cerca de 330 casos conhecidos de litopedia no mundo. Descrevemos uma litopedia que se agravou, tornando-se uma obstrução intestinal, em uma idosa de 71 anos.

Keywords

lithopedion - stone baby - ectopic pregnancy - abdominal pregnancy - extrauterine pregnancy

Palavras-chave

litopedia - bebê de pedra - gravidez ectópica - gravidez abdominal - gravidez extrauterina
 

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