Deep Dyspareunia: Is It an Unusual Manifestation of Lithopedion?

doi:10.17303/jwhg.2019.6.103

Abstract

Highlights

It is important that in case of pelvic calcifications on ultrasound, even of incidental discovery in a patient who does not complain about anything, to make a radiological examination not to miss this pathology with sometimes serious complications
We know today thanks to the few cases described in the literature, that if its discovery is generally fortuitous after a radiological examination, various circumstances and even complications can be at the origin of its discovery [1,2,3,4,5,6]
The true lithopedion that we describe, since it was not in a shell, represents about 43% of this entity, next to the lithokeliphopedion where the calcification bears on both the membranes and the fetus (31%), and the lithokeliphos (26%) where the fetus is intact in a calcified shell [1, 4]

Summary

Case Presentation

This was a 27-year-old patient who had consulted at Brazzaville Teaching Hospital for vaginal pain triggered by sexual intercourse. She was a second gesture – primiparous. The patient had taken Misoprostol while her pregnancy was about 3 to 4 months old. She reports that she had moderate intermittent bleeding for more than a week with abdominal pain. To her surprise, she reports, she had not expelled. Since the pregnancy had not changed and especially, two months later, she had resumed with the menses, regular; for her the problem was over: the pregnancy was gone

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Findings

Conclusion