Title: Lithopedion Presenting as Pelvi-Peritonitis with Septic Shock: A Case Report
Authors: ANIBRI MOUNA, BENABDESLAM RIM, MCHICHOU SOFIA, EL HASSOUNI FATIMA, BARGACH SAMIR
Volume: 9
Issue: 5
Pages: 1-3
Publication Date: 2025/05/28
Abstract:
Lithopedion, a rare complication of extrauterine fetal demise and calcification, can remain asymptomatic for years or present with life-threatening complications. We report the case of a 40-year-old woman presenting with pelvic pain, chronic constipation, recurrent vomiting, lower limb edema, and systemic inflammatory response. Imaging revealed a calcified abdominal mass consistent with a lithopedion, complicated by peritoneal fistulization and extensive venous thrombosis. The patient developed septic shock, necessitating emergency exploratory laparotomy. Intraoperative findings confirmed a lithopedion with surrounding adhesions, abscess formation, and bowel involvement. Postoperatively, she required intensive care support but recovered with antimicrobial therapy and anticoagulation. This case underscores the importance of early recognition, multidisciplinary management, and timely surgical intervention to prevent severe lithopedion-related complications.