65yo with adominal pain

A 65 yo female is complaining of some mild adominal discomfort. On physical exam, there is an abdominal mass which she states has been there for “many years”. She’s 65, so you fore go the U-preg and get some films. And you see…

That…kinda…looks….like a baby?

A lithopedion (Ancient Greek: = stone child), or stone baby, is a rare phenomenon which occurs most commonly when a fetus dies during an abdominal pregnancy, is too large to be reabsorbed by the body, and calcifies on the outside, shielding the mother’s body from the dead tissue of the baby and preventing infection. Lithopedia may occur from 14 weeks gestation to full term. It is not unusual for a stone baby to remain undiagnosed for decades, and it is often not until a patient is examined for other conditions or a proper examination is conducted that includes an X-ray, that a stone baby is found. The oldest reported case is that of a 94 year old woman, whose lithopedion has been present for upwards of 60 years.

Here’s another example, taken from a case study. Follow the link if you want to see what it looks like when they surgically remove the lithopedion.

About ER Jedi

I’m a resident doctor in Emergency Medicine and I’ve learned during the past few years that 1) I’ve had some pretty amazing experiences 2) I have a very bad short-term memory. So this blog is just a place for me to write about some of these experiences, from the ER, medical school, the wards and life in general. At least that way I’ll have some idea as to where I’ve been all this time. A scrap-book of sorts, a place to vent, organize some clinical tools and post a few good songs I’ve heard along the way.

Posted on April 18, 2011, in Fact is Stranger than Fiction, Radiology. Bookmark the permalink. 2 Comments.

  1. >fact indeed is sometimes weirder than fiction! 😉 terrific post. never seen an actual film of this myself… btw, your images do not resolve on the email subscription. some bit.ly message about the links being dead or something… take a look, will you?

  2. >Did the images from previous posts show up in email? I just switched over to imageshack for image hosting instead of using Picasa as its 10x easier to insert images into blogger if you don't use Picasa (which is weird, since google owns both, you think they would have much better cross service solution)

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