Lithopedion Causing Intestinal Obstruction

Riogi B1 MBChB, Odhiambo K1 MBChB, MMED (Surgery), Ogutu O2 MBCB, M.MED (O/G),PGDRM Affi liation: 1- Level 5 Kisii

Hospital 2-Department of Obstetrics & Gynaecology, University of Nairobi. Correspondence: Bahaty Riogi, MBChB, Department of

surgery, Kisii Level 5 Hospital, P.O Box 92-40200 Kisii, E-mail:

 

Summary

The formation of a mummified intra-abdominal pregnancy (lithopedion) is rare. A 25 year old Para 4 + 0 gravida 5 presented with features of intestinal obstruction and a four year history of an intra abdominal mass. Examination revealed a solid mass in the right upper quadrant. Ultrasound imaging showed a poor echo-calcified mass while an erect abdominal x ray revealed foetal bones within the abdominal cavity. At laparatomy a lithopedion with a normal uterus was found. Her last normal delivery was one year prior to this current presentation.

 

A lithopedion causing a mass effect (intestinal obstruction) and predating a normal intra uterine pregnancy followed by spontenous vertex delivery has not been reported in Kenya.

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The Annals of African Surgery is the official publication of the Surgical Society of Kenya.

 

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