LITHOPEDION AND LACK OF UNIVERSALITY: CASE REPORT.

INTRODUCTION AND OBJECTIVE: Lithopedion (litho: Stone; pedion: children) is the name given to extra-uterine pregnancy that evolves with fetal death and calcification. Nowadays, access to prenatal care in primary care enables early identification of cases of ectopic pregnancy, enabling appropriate treatment that prevents the calcification of the fetus and the evolution to lithopedion. The objective of this study is to report a case of lithopedion and correlate with the absence of universal access to health services. METHODS: At home visits to patients and after consent, there was a history, physical examination and analysis of imaging studies and correlated with other cases reported in the scientific literature. RESULTS AND CONCLUSIONS: J.C.L., 85, widow, residing in the rural municipality of Nativity - Tocantins, reports that at 40 years old was pregnant at around 6 months of pregnancy presented frame of severe abdominal pain and feeling of imminent death. At the time, she went to a healer who prescribed herbal remedies. After several days of fever, there was a gradual improvement in the clinic, but the fetus never came out of his belly. After diagnostic investigation today, imaging revealed a lithopedion (calcified fetus) in the abdominal cavity, likely the result of an ectopic pregnancy not surgically treated. We conclude that the lithopedion is a rare phenomenon, caused mainly by the lack of a proper pre-natal care to the population, which would enable the early diagnosis of extra-uterine pregnancy and proper treatment. Universal access to health services constitutes a primary prevention strategy to lithopedion.