Lithopaedon Presenting as Intestinal Obstruction with a Previous Co-existing Intra-uterine Pregnancy.
نویسندگان
چکیده
This is a case report of a 25 year old lady Para 4 + 0 gravida 5, who was referred to Kisii level 5 hospital from a district hospital with a diagnosis of intestinal obstruction and a four year history of an intra-abdominal mass. A year prior to the admission she conceived and delivered vaginally at home but the baby died a few hours after the delivery. On examination on admission there was a solid mass in the right upper quadrant. Ultrasound imaging showed a poor echo-calcified mass suggestive of a colonic metastatic mass and an erect abdominal x ray revealed foetal bones within the abdominal cavity. At laparatomy a lithopedion with a normal uterus was found. The presence of a lithopedion and a normal intra-uterine pregnancy followed by spontaneous vertex delivery has not been reported in Kenya. Patients with lithopaedon can present with intestinal obstruction as a complication but the presence of a co-existing pregnancy is rare.
منابع مشابه
Spontaneous Heterotopic Pregnancy after Four Previous Caesarean Sections: Successful Salpingectomy and Inta-Uterine Term Pregnancy
Heterotopic pregnancy is rare under natural circumstance (conception). We report the first case of heterotopic pregnancy in spontaneous conception with four previous caesarean sections and ruptured tubal ectopic with resultant successful normal intra-uterine pregnancy delivered at term after salpingectomy. A 32-year-old gravida 5 para 4+0 with 3 living children, with 4 previous caesarean sectio...
متن کاملUterine Rotation: A Cause of Intestinal Obstruction
Intestinal obstruction is an uncommon surgical emergency during pregnancy that affects seriously the prognosis of gestation. The underlying cause can be identified in the majority of cases and usually consists of adhesions secondary to previous abdominal or pelvic surgery, followed in order of frequency by intestinal volvuli. In recent years there have been no reports in which the gravid uterus...
متن کاملAge, Body Mass Index, and Number of Previous Trials: Are They Prognosticators of Intra-Uterine-Insemination for Infertility Treatment?
متن کامل
Splenic Torsion in a Wandering Spleen Presenting As Intestinal Obstruction
SUMMARY The -presented patient is a 4 year old boy who is a known case of Niemannpick disease. He presented with restlessness, anorexia, Vomiting and constipation. On the physical exam the cbdomen was distended and a large and a large and mobile mass in right lower quadrant was palpated. Plain abdominal X-Ray showed air-fluid levels. The patient underwent an emergent operation. The splenic ped...
متن کاملA Case of Intestinal Obstruction Caused by Extra-Uterine Pregnancy
By S. R. GORE, l.m. & s. Honorary Surgeon, The Hubli Co-operative Hospital Society, Hubli G. D., aged 28, was admitted to the Co-operative Hospital, Hubli, in the afternoon of 29th January, 1935, for intestinal obstruction. Her condition was grave; thready rapid pulse, cold perspiration, anxious look, frequent vomiting of large quantities of liquid faecal matter, and distended abdomen were the ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- East African medical journal
دوره 89 3 شماره
صفحات -
تاریخ انتشار 2012