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Case Reports
. 2000 Nov 9;118(6):192-4.
doi: 10.1590/s1516-31802000000600008.

Calcified abdominal pregnancy with eighteen years of evolution: case report

R Passini Jr  1 , R Knobel, M A Parpinelli, B G Pereira, E Amaral, F G de Castro Surita, C R de Araújo Lett
Affiliations
Case Reports

Calcified abdominal pregnancy with eighteen years of evolution: case report

R Passini Jr et al. Sao Paulo Med J. .

Abstract
in English, Portuguese

Context: The lithopedion (calcified abdominal pregnancy) is a rare phenomenon and there are less than 300 cases reported in the medical literature.

Case report: In this case, a 40 year-old patient had had her only pregnancy 18 years earlier, without medical assistance since then. She came to our hospital with pain and tumoral mass of approximately 20 centimeters in diameter. Complementary examinations (abdominal X-ray, ultrasonography and computerized tomography) demonstrated an extra-uterine abdominal 31-week pregnancy with calcification areas. Exploratory laparotomy was performed, with extirpation of a well-conserved fetus with partially calcified ovular membranes.

CONTEXTO:: O Litopédio (gestação abdominal calcificada) é um fenômeno raro, com menos de 300 casos descritos na literatura.

RELATO DE CASO:: Uma paciente de 40 anos, teve uma única gestação há 18 anos e não procurou serviço médico desde então. Chegou com dor em baixo ventre e massa tumoral de aproximadamente 20 centímetros. Os exames complementares (radiografia abdominal, ecografia e tomografia computadorizada) evidenciaram gestação de aproximadamente 31 semanas extrauterina e com áreas de calcificação. Foi realizada laparotomia com extração do feto em bom estado de conservação, envolvido pela membrana parcialmente calcificada.

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Conflict of interest statement

Conflict of interest: Not declared

Figures

Figure 1
Figure 1. Calcified Abdominal Pregnancy - Abdominal X-ray.
Figure 2
Figure 2. Calcified Abdominal Pregnancy - Epiploon adherence.
Figure 3
Figure 3. Calcified Abdominal Pregnancy - Fetus after dissection of calcified ovular membrane.
See this image and copyright information in PMC

References

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