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.