title: LITHOPAEDON PRESENTING AS INTESTINAL OBSTRUCTION WITH A PREVIOUS CO-EXISTING INTRA-UTERINE PREGNANCY.
abstract: This is a case report of a 25 year old lady Para 4 + 0 gravida 5, who was referred to Kisii level 5 hospital from a district hospital with a diagnosis of intestinal obstruction and a four year history of an intra-abdominal mass. A year prior to the admission she conceived and delivered vaginally at home but the baby died a few hours after the delivery. On examination on admission there was a solid mass in the right upper quadrant. Ultrasound imaging showed a poor echo-calcified mass suggestive of a colonic metastatic mass and an erect abdominal x ray revealed foetal bones within the abdominal cavity. At laparatomy a lithopedion with a normal uterus was found. The presence of a lithopedion and a normal intra-uterine pregnancy followed by spontaneous vertex delivery has not been reported in Kenya. Patients with lithopaedon can present with intestinal obstruction as a complication but the presence of a co-existing pregnancy is rare.
authors: Department of Obsterics and Gynaecology, College of Health Sciencies, University of Nairobi, P. 0. Box 19676-00202, Nairobi, Kenya.
authors: B
authors: B
authors: Riogi
authors: K
authors: K
authors: Odhiambo
authors: Omondi-Ogutu
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D005333:Fetus / Q000000981:diagnostic imaging / Q000473:pathology*; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis; D011247:Pregnancy; D011269:Pregnancy, Abdominal / Q000175:diagnosis* / Q000000981:diagnostic imaging; D011859:Radiography; D014463:Ultrasonography