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Background <p>Lithopedion, or stone baby, refers to the calcification of a dead fetus that has been retained in the body for a prolonged period. It most often follows abdominal ectopic pregnancy. Intrauterine lithopedion is exceedingly rare, occurring when a fetus from a missed abortion is not expelled and gradually undergoes calcification.</p> Case Presentation <p>We present the case of a 38-year-old woman who reported to the gynecology outpatient department with severe anemia due to heavy menstrual bleeding. She had a prior history of medical termination of pregnancy (MTP) with pills one year earlier for a missed abortion. During the evaluation of her abnormal uterine bleeding, an incidental diagnosis of intrauterine lithopedion was made.</p> Management and Outcome <p>The patient was treated for anemia and assessed for surgical intervention to manage heavy menstrual bleeding. Imaging and intraoperative findings confirmed intrauterine lithopedion. Appropriate management was provided, tailored to the patient’s symptoms and reproductive needs.</p> Conclusion <p>Intrauterine lithopedion is a rare clinical entity, often discovered incidentally during investigations for unrelated gynecological complaints. Clinicians should consider this diagnosis in patients with a history of missed abortion and retained products of conception. Early recognition and individualized management are essential to prevent complications and optimize patient outcomes.</p>

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Womb or Tomb: A Rare Case of Intrauterine Lithopedion Presenting with Abnormal Uterine Bleeding

  • 期刊论文

  • 发表日期：

    2025年11月8日

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  • Disha Yadav,
  • Megha Kansara,
  • Pratiksha Gupta,
  • Vaidehi Hambarde

摘要

Background

Lithopedion, or stone baby, refers to the calcification of a dead fetus that has been retained in the body for a prolonged period. It most often follows abdominal ectopic pregnancy. Intrauterine lithopedion is exceedingly rare, occurring when a fetus from a missed abortion is not expelled and gradually undergoes calcification.

Case Presentation

We present the case of a 38-year-old woman who reported to the gynecology outpatient department with severe anemia due to heavy menstrual bleeding. She had a prior history of medical termination of pregnancy (MTP) with pills one year earlier for a missed abortion. During the evaluation of her abnormal uterine bleeding, an incidental diagnosis of intrauterine lithopedion was made.

Management and Outcome

The patient was treated for anemia and assessed for surgical intervention to manage heavy menstrual bleeding. Imaging and intraoperative findings confirmed intrauterine lithopedion. Appropriate management was provided, tailored to the patient’s symptoms and reproductive needs.

Conclusion

Intrauterine lithopedion is a rare clinical entity, often discovered incidentally during investigations for unrelated gynecological complaints. Clinicians should consider this diagnosis in patients with a history of missed abortion and retained products of conception. Early recognition and individualized management are essential to prevent complications and optimize patient outcomes.