Lithopedion Causing Intestinal Obstruction

Lithopedion Causing Intestinal Obstruction

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The formation of a mummified intra-abdominal pregnancy (lithopedion) is rare.A 25 year Height Adjuster 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 Flywheel 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.