T Jain1, L O Eckert. 1. Department of Obstetrics and Gynecology, Harborview Medical Center, University of Washington School of Medicine, Seattle, Washington 98195-6460, USA. tjain@u.washington.edu
Abstract
BACKGROUND: Abdominal pregnancy with lithopedion formation is rare and its presentation as a pelvic abscess has not been reported. CASE: A 38-year-old, gravida 1, para 0, presented with signs and symptoms of a pelvic abscess, which turned out to be a lithopedion from a 16-week abdominal pregnancy that had been terminated by a potassium chloride injection 2 years earlier. Intravenous antibiotics were followed by surgical removal of the lithopedion. CONCLUSION: Pelvic abscess is an added complication of a lithopedion. Surgical removal to prevent such complications can be considered, balanced against the high operative risks.
BACKGROUND: Abdominal pregnancy with lithopedion formation is rare and its presentation as a pelvic abscess has not been reported. CASE: A 38-year-old, gravida 1, para 0, presented with signs and symptoms of a pelvic abscess, which turned out to be a lithopedion from a 16-week abdominal pregnancy that had been terminated by a potassium chloride injection 2 years earlier. Intravenous antibiotics were followed by surgical removal of the lithopedion. CONCLUSION: Pelvic abscess is an added complication of a lithopedion. Surgical removal to prevent such complications can be considered, balanced against the high operative risks.