Lithopaedion

Case contributed by Dr Laughlin Dawes

Presentation

Incidentally-discovered calcified pelvic mass during workup for low back pain.

Patient Data

Age: 55
Gender: Female
Modality: CT

Extra-uterine calcified fetal skeleton on MPCR (multi-planar curved reformat) images.

Case Discussion

The patient recalled abnormal obstetric history 30 years ago. Otherwise, there was no relevant clinical or lab abnormality.

A lithopaedion (litho = stone; paedion = child), or stone baby, is a rare phenomenon which occurs most commonly when a fetus dies during an ectopic pregnancy. If the dead fetus is too large to be re-absorbed by the mother’s body it becomes a foreign body to the mother’s immune system. To protect itself from possible infection, the mother’s body will encase the fetus in a calciferous substance. The fetus is gradually mummified becoming a stone baby. Lithopaedions may occur from 14 weeks’ gestation to full term. It is not unusual for a stone baby to remain undiagnosed for decades and found incidentally when taking plain films for various reasons (like this case).

Credit: Dr Ahmed Haroun.

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Case Information

rID: 35885
Case created: 24th Apr 2015
Last edited: 6th Nov 2015
System: Obstetrics
Inclusion in quiz mode: Included

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