{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T13:33:15Z","timestamp":1792157595155,"version":"4.4.0"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2019,11,12]],"date-time":"2019-11-12T00:00:00Z","timestamp":1573516800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,11,12]],"date-time":"2019-11-12T00:00:00Z","timestamp":1573516800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>Lithopedion is a word derived from the Greek words <jats:italic>lithos<\/jats:italic>, meaning stone, and <jats:italic>paidion<\/jats:italic>, meaning child, to describe a fetus that has become stony or petrified. Lithopedion is a rare complication of pregnancy which occurs when a fetus dies and becomes too large to be reabsorbed by the body. This entity in rare circumstances can be challenging for physicians to diagnose since it has a range of clinical manifestations.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Case presentation<\/jats:title>\n<jats:p>We present a case of a 55-year-old, gravida IV para III, Ethiopian woman from Ethiopia with a retained fetus and vesicovaginal fistula after an obstructed labor and a neglected intrauterine fetal demise of approximately 22 years. The diagnosis was confirmed by suggestive clinical history, physical examination findings, and an abdominopelvic computed tomography scan. Laparotomy and removal of the lithopedion was done and our patient was sent to a fistula hospital for vesicovaginal fistula repair.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Conclusion<\/jats:title>\n<jats:p>This case is a rare phenomenon in which the dead fetus remained in the uterus for a long time after a neglected obstructed labor and uterine rupture.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s13256-019-2264-8","type":"journal-article","created":{"date-parts":[[2019,11,12]],"date-time":"2019-11-12T09:03:28Z","timestamp":1573549408000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Neglected intrauterine fetal demise for more than two decades leading to the development of a lithopedion: a case report"],"prefix":"10.1186","volume":"13","author":[{"given":"Fitsum Fikru","family":"Gebresenbet","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdu Mengesha","family":"Mulat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Namus Muhajir","family":"Nur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ferehiwot Bekele","family":"Getaneh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2019,11,12]]},"reference":[{"issue":"1","key":"2264_CR1","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1002\/1098-2353(200101)14:1<52::AID-CA1009>3.0.CO;2-H","volume":"14","author":"N Lachman","year":"2001","unstructured":"Lachman N, Satyapal KS, Kalideen JM, Moodley TR. Lithopedion: A case report. Clin Anat. 2001;14(1):52\u20134.","journal-title":"Clin Anat"},{"issue":"1","key":"2264_CR2","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1186\/2193-1801-3-151","volume":"3","author":"R Medhi","year":"2014","unstructured":"Medhi R, Nath B, Mallick MP. Lithopedion diagnosed during infertility workup: a case report. SpringerPlus. 2014;3(1):151.","journal-title":"SpringerPlus."},{"issue":"1","key":"2264_CR3","first-page":"283","volume":"2","author":"S Saritha","year":"2014","unstructured":"Saritha S, Gouri. Lithopaedion: a case report. Int J Anat Res. 2014;2(1):283\u20136.","journal-title":"Int J Anat Res"},{"issue":"3","key":"2264_CR4","doi-asserted-by":"publisher","first-page":"208","DOI":"10.4103\/2229-516X.165374","volume":"5","author":"K Mitra","year":"2015","unstructured":"Mitra K, Ratnaparkhi C, Gedam B, Tayade K. An unusual case of retained abdominal pregnancy for 36 years in a postmenopausal woman. Int J Appl Basic Med Res. 2015;5(3):208\u201310.","journal-title":"Int J Appl Basic Med Res"},{"issue":"1","key":"2264_CR5","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1055\/s-0038-1676038","volume":"41","author":"A Ricaurte Sossa","year":"2019","unstructured":"Ricaurte Sossa A, Bolanos H, Ricaurte Fajardo A, Burgos AC, Garcia V, Munoz P, et al. Lithopedion in a Geriatric Patient. Rev Bras Ginecol Obstet. 2019;41(1):59\u201361.","journal-title":"Rev Bras Ginecol Obstet"},{"issue":"5","key":"2264_CR6","doi-asserted-by":"publisher","first-page":"1208","DOI":"10.1016\/j.fertnstert.2006.11.065","volume":"87","author":"NZ Burger","year":"2007","unstructured":"Burger NZ, Hung YE, Kalof AN, Casson PR. Lithopedion: laparoscopic diagnosis and removal. Fertil Steril. 2007;87(5):1208\u20139.","journal-title":"Fertil Steril"},{"issue":"3","key":"2264_CR7","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1097\/PAF.0000000000000254","volume":"37","author":"AS Gurler","year":"2016","unstructured":"Gurler AS, Das T, Gitmis G, Apaydin N, Kara E, Ozdemirel RO, et al. Incidentally Detected Lithopedion in an 87-Year-Old Lady: An Autopsy Case Report. Am J Forensic Med Pathol. 2016;37(3):211\u20133.","journal-title":"Am J Forensic Med Pathol"},{"issue":"1","key":"2264_CR8","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1177\/014107689608900105","volume":"89","author":"J Bondeson","year":"1996","unstructured":"Bondeson J. The earliest known case of a lithopaedion. J R Soc Med. 1996;89(1):13\u20138.","journal-title":"J R Soc Med"},{"issue":"3","key":"2264_CR9","doi-asserted-by":"publisher","first-page":"241","DOI":"10.4314\/ejhd.v16i3.9792","volume":"16","author":"A Gessessew","year":"2002","unstructured":"Gessessew A, Melese MM. Ruptured uterus-eight year retrospective analysis of causes and management outcome in Adigrat Hospital, Tigray Region, Ethiopia. Ethiop. J. Health Dev. 2002;16(3):241\u20135.","journal-title":"Ethiop. J. Health Dev"}],"container-title":["Journal of Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-019-2264-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s13256-019-2264-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-019-2264-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,11,11]],"date-time":"2020-11-11T00:32:57Z","timestamp":1605054777000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmedicalcasereports.biomedcentral.com\/articles\/10.1186\/s13256-019-2264-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11,12]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,12]]}},"alternative-id":["2264"],"URL":"https:\/\/doi.org\/10.1186\/s13256-019-2264-8","relation":{},"ISSN":["1752-1947"],"issn-type":[{"value":"1752-1947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,11,12]]},"assertion":[{"value":"15 August 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 September 2019","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 November 2019","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Written informed consent was obtained from the patient for the publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"330"}}