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Coexistent lithopedion and live abdominal ectopic pregnancy

Massinde, A.N.; Rumanyika, R.; Im, H.B.

Obstetrics and Gynecology 114(2 Part 2): 458-460

2009

ISSN/ISBN: 0029-7844
PMID: 19622960
DOI: 10.1097/aog.0b013e31819ecc82
Document Number: 206764
Abdominal pregnancy is a rare, life-threatening variant of ectopic pregnancy, and thus its diagnosis and management remain controversial. A multigravida was admitted for complaints of abdominal swelling that had been occurring for 2 years and symptoms of pregnancy in the 3 months before admission. Radiologic studies revealed a live intraabdominal pregnancy at 15 weeks of gestation with a concurrent lithopedion of advanced gestation. The patient underwent laparotomy, removing both fetuses; the placenta was left in situ. She was discharged 1 week later in good condition. The case of a concurrent lithopedion of advanced gestation and a live intraabdominal ectopic pregnancy was successfully managed.

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