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Case Reports
. 2023 Feb 8;18(4):1552-1555.
doi: 10.1016/j.radcr.2023.01.051. eCollection 2023 Apr.

Case report of a lithopedion of tubal location, in a young woman

Affiliations
Case Reports

Case report of a lithopedion of tubal location, in a young woman

Coumba Gueye et al. Radiol Case Rep. .

Abstract

Lithopedion is a rare situation, corresponding to an ectopic pregnancy which evolves beyond the first trimester toward death and fetal calcification. This ectopic pregnancy is most often abdominal in location. Through this case report, we report the case of a lithopedion of left tubal localization in a young woman, diagnosed on CT scan following abdominal pain and confirmed by laparotomy with excision.

Keywords: CT scan; Lithopedion; Tubal ectopic pregnancy; Young woman.

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Figures

Fig 1
Fig. 1
Abdominal CT in 3D reconstruction. A 3D CT reconstruction, anteroposterior view shows a left pelvic calcified mass corresponding to the lithopedion of 11 cm.
Fig 2
Fig. 2
Bone window of abdominal CT, coronal (A) sagittal (B), and axial (C). Bone window CT reconstructions reveal details of fetal anatomy with calcified shell, fetal head and femur. The femur measured at 4.1 cm thus estimating the age of the fetus at about 23 weeks of amenorrhea.
Fig 3
Fig. 3
Postoperative image of the lithopedion. Postoperative image of the stony mass roughly shaped like a fetus, measuring nearly 12 cm in craniocaudal length and a weight of 460 g.

References

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