In 2005, she gave birth to a child and the abdominal swelling began occurring shortly after this birth. She was having normal menses, but in August 2007 she began to have irregular vaginal bleeding. This woman had six normal pregnancies before 2007 (Massinde, 2009).
The patient had a positive urine pregnancy test. An ultrasound examination was performed and a picture of the ultrasound can be found in Figure 21. The results of the ultrasound revealed that there was an empty uterus, but there was a living fetus of about 15 2/7 weeks old located posterior to the uterus. In Figure 21, the black arrow indicates the fetal head, while the white arrow indicates the position of the uterus. A solid mass on the right side of the woman’s body was also seen (Massinde, 2009). This mass contained a calcified fetal spine, which would suggest a nonviable fetus. In addition to the ultrasound, an abdominal x-ray was done to confirm the results. Figure 22 illustrates the results of the X-ray and the position of the lithopedion in the woman’s abdomen. This patient had a live abdominal pegnancy in addition to a lithopedion (Massinde, 2009). These results suggest that a lithopedion does not have an effect on future pregnancies that may occur after the fetus has died and begun to calcify.