Anatomy and Pathological Cytology Laboratory of the Aristide Le Dantec Hospital, Dakar, Senegal.
Anatomy and Pathological Cytology Laboratory of the Idrissa Pouye general hospital, Dakar, Senegal.
J Forensic Sci. 2022 Sep;67(5):2097-2100. doi: 10.1111/1556-4029.15070. Epub 2022 May 30.
Lithopedion is a rare condition secondary to retention and calcification of an unrecognized intra-abdominal (usually ectopic) pregnancy after a fetal death, which occurred after three months of gestation. It accounts for 1.5%-2% of cases of ectopic pregnancy. We report the case of a 72-year-old nulligravida woman who died about 72 h after being kicked in the abdomen during a fight. At autopsy, an intra-abdominal calcified fetus, acute generalized peritonitis, and ileal perforation were observed. The estimated gestational age of the fetus was 37 weeks (based on femur length) and the lithopedion had a weight of 750 g and a size of 15 × 12 × 9 cm. The age of menopause and the duration of retention are not known. This is the first case of this entity identified in Senegal.
结石胎是一种罕见的病症，是由于胎儿死亡后，在妊娠三个月后，未被识别的腹腔内（通常是异位）妊娠的保留和钙化引起的。它占异位妊娠病例的 1.5%-2%。我们报告了一例 72 岁的未婚妇女的病例，她在一次打斗中被踢到腹部后约 72 小时死亡。尸检时，发现腹腔内钙化胎儿、急性弥漫性腹膜炎和回肠穿孔。胎儿的估计胎龄为 37 周（根据股骨长度），结石胎的重量为 750 克，大小为 15×12×9 厘米。绝经年龄和保留时间尚不清楚。这是塞内加尔首例此类病例。
