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Coexistent Lithopedion and Live Abdominal Ectopic Pregnancy

Massinde, Anthony Naju MD1; Rumanyika, Richard MD, MMED1; Im, Hyunsoon Beatrice MD1,2

doi: 10.1097/AOG.0b013e31819ecc82
Case Reports
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BACKGROUND: Abdominal pregnancy is a rare, life-threatening variant of ectopic pregnancy, and thus its diagnosis and management remain controversial.

CASE: 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.

CONCLUSION: The case of a concurrent lithopedion of advanced gestation and a live intraabdominal ectopic pregnancy was successfully managed.

In this case, the patient had a concurrent lithopedion of advanced gestation and a live abdominal ectopic pregnancy.

From the 1Department of Obstetrics and Gynecology, Bugando Medical Center and the Weill-Bugando University College of Health Sciences, Mwanza, Tanzania; and the 2Department of Obstetrics and Gynecology, Weill-Cornell Medical College, New York, New York.

Corresponding author: H. Beatrice Im, MD, Weill-Bugando University College of Health Sciences, Bugando Medical Centre, Bugando Hill Road, Room E306, Mwanza, Tanzania; e-mail: beatriceim@gmail.com, hyunsoon_im@yahoo.com.

Financial Disclosure The authors did not report any potential conflicts of interest.

© 2009 by The American College of Obstetricians and Gynecologists.