Lithopedion : report of a case, with a review of the literature / by William Seaman Bainbridge.

  • Bainbridge, William Seaman, 1870-1947.
Date:
1912
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Licence: In copyright

Credit: Lithopedion : report of a case, with a review of the literature / by William Seaman Bainbridge. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    pregnant tube, but also the fetal membranes. This pregnancy dated about twenty-five years back. The right tube, and both ovaries, were normal in proportion to the age. 14. Burger (Vienna Obstetrical and Gynecological Society, meeting of November 8, 1904. Centrlbl. f. Gyn., No. 19, 1905): During operation for cervical cancer by means of the modified vaginal method, the right adnexa were found to be embedded in extensive adhesions, in the midst of which could be palpated a small hard body. This proved to be a lithopedion. There was nothing in the patient’s history to suggest an old tubal pregnancy, though it was supposed that this had occurred. 15. Herlitzka {Centrlbl. f. Gyn., No. 39, 1905): The patient, forty-four years of age, gave a history of eleven pregnancies, including four abortions. The last confinement was four years ago. For two years she had noticed a resistance in the lower left side of the abdomen, which at first caused no disturbance, but later gave rise to slight pain. Examination by palpation demonstrated a tumor of stony hardness, the size of the hand, in the left iliac fossa. The diagnosis, by exclusion, was made of old tubal pregnancy, with mummified fetus. This was con- firmed by laparotomy. The extirpated fetus proved to be a true lithopedion. 16. Fothergill (North of England Obstetrical and Gyneco- logical Society, meeting of November 17, 1905. Jour, of Obst. and Gyn. of the British Empire, ix, 1906, page 67): Lithopedion, successfully removed from a patient thirty-five years of age. The left tube showed no definite sign of having been ruptured, but its surface was roughened by the remains of adhesions sepa- rated during the operation. The specimen was found to consist of the bones of a fetus of about five months, compacted into a rounded mass and to some extent infiltrated with calcareous salts. It was partially covered by a thin, more or less calcified, membrane. The ribs, scapulae, iliac bones, and the long bones of the limbs were easily recognized. This pregnancy had ended seven years previously. 17. Beede, S. C. {Surg., Gyn. and Obst., September, 1906, page 374): Lithopedion, removed from a woman fifty years of age, who gave a history of pregnancy dating back more than nineteen years. (Beede, believing that some estimate of the frequency of this condition would be of interest, addressed letters of inquiry to fifty representative Western surgeons. Forty replies were received, reporting in all eighteen cases. Only twelve of these were undoubted cases of lithopedion, the others being macerated products, or of uncertain origin. Of these twelve, four had developed to term, one to eight months, one to six months, one to four months, three to two or two and a half months, and two not stated. Two had remained in the abdomen twelve years; as to the others, the time was unknown or not stated.) 18. Wallart {Zeitschrift f. Geb. u. Gyn., vol. lix, H. 2, 1907):