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ISSN 1684-1824 (Electronic)

2012, Number 5

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Rev Méd Electrón 2012; 34 (5)

Lithopedion and ectopic pregnancy: presentation of a case

Martínez AJ, Flores IA

Language: Spanish
References: 12
Page:
PDF size: 559.03 Kb.


ABSTRACT

The Lithopedion usually occurs when a fertilized egg adheres somewhere outside the uterus; the fetus may star to grow, but it cannot survive and dies. The mother’s immunologic system eventually recognizes the fetus as a foreign body and reacts to protect her from a possible infection, covering the fetus with a calcium-rich substance while the dehydration of the tissues is taking place. Through the calcium deposits, a wall is formed, and the fetus becomes a mummified lithopedion. The adequate surgery and favorable evolution of the patient depends on the multidisciplinary evaluation. Describing a new presentation form of the lithopedion coexisting with an ectopic pregnancy and showing the experience of a case of difficult diagnosis and surgical management are the objective of the research. We present the case of a pregnant woman aged 28 years old, treated in the Service of Gynecology and Obstetrics of the General Hospital of Bengo (Republic of Angola), who presented an abdominal ectopic pregnancy in epigastric projection (lithopedion) coinciding with a six-week intrauterine pregnancy. We reviewed the literature on the theme and developed an exposition of the disease clinical characteristics, diagnosis, management and prognosis.


REFERENCES

  1. Oliva Rodríguez JA. Ultrasonografía diagnóstica fetal, obstétrica y ginecológica. La Habana: Editorial Ciencias Médicas; 2010. p 321-3.

  2. Contreras C, Sabillón VN, Cardona V. Litopedion: reporte de un caso. Rev Méd Hondur. 2006;74(4):205-8.

  3. Ede J, Sobnach S, Castillo F, Bhyat A, Corbett JH. The lithopedion-an unusual cause of an abdominal mass. S Afr J Surg. 201;49(3):140-1. Citado en PubMed; PMID: 21933501.

  4. Sun J, Pan ZM, Xie X, Li BH. Intrauterine and extrauterine lithopedion following cesarean scar rupture. Int J Gynaecol Obstet. 2010 Jun;109(3):249-50. Citado en PubMed; PMID: 20347087.

  5. Jesinger RA, Hill LM, Sumkin J. Radiology corner. Answer to last month's radiology case (# 44) and image: lithopedion. Mil Med. 2010 Feb;175(2):v-vi. Citado en PubMed; PMID: 20180484.

  6. Sun G, Li M, Lu Y. Unrecognized lithopedion with 35 years' evolution diagnosed on computed tomographic scan. Fertil Steril. 2010 Jun;94(1):341-2. Citado en PubMed; PMID: 20116790.

  7. Sunday-Adeoye I, Twomey D, Egwuatu EV, Okonta PI. A 30-year review of advanced abdominal pregnancy at the Mater Misericordiae Hospital, Afikpo, southeastern Nigeria (1976-2006). Arch Gynecol Obstet. 2011 Jan;283(1):19-24. Citado en PubMed; PMID: 19876640.

  8. Massinde AN, Rumanyika R, Im HB. Coexistent lithopedion and live abdominal ectopic pregnancy. Obstet Gynecol. 2009 Aug;114(2 Pt 2):458-60. Citado en PubMed; PMID: 19622960.

  9. Burger NZ, Hung YE, Kalof AN, Casson PR. Lithopedion: laparoscopic diagnosis and removal. Fertil Steril. 2007 May;87(5):1208-9. Citado en PubMed; PMID: 17289039.

  10. Adehossi E, Gbaguidi F, Garba M, Kaba-Cisse MF, Parola P. [Lithopedion]. Med Trop (Mars). 2006 Feb;66(1):30. Citado en PubMed; PMID: 16615612.

  11. Odom SR, Gemer M, Muyco AP. Lithopedion presenting as intra-abdominal abscess and fecal fistula: report of a case and review of the literature. Am Surg. 2006 Jan;72(1):77-8. Citado en PubMed; PMID: 16494190.

  12. Casas Fernández JA, Martínez Chaswell D. Litoquelifopedion. Presentación de un caso Rev Cubana Obstet Ginecol. 1981;7(3):278-80.




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