The patient recalled abnormal obstetric history 50 years ago. Otherwise, there was no relevant clinical or lab abnormality.

A lithopedion (litho = stone; paedion = child), or stone baby, is a rare phenomenon which occurs most commonly when a fetus dies during an ectopic pregnancy. If the dead fetus is too large to be reabsorbed by the mother’s body it becomes a foreign body to the mother’s immune system. To protect itself from possible infection, the mother’s body will encase the fetus in a calciferous substance. The fetus is gradually mummified becoming a stone baby. Lithopedions may occur from 14 weeks gestation to full term. It is not unusual for a stone baby to remain undiagnosed for decades and found incidentally when taking plain films for various reasons (like this case).

Credit: Dr Ahmed Haroun.