A Case Report published in BMCWomensHealth demonstrates a rare medical phenomenon and the impact of medical distrust, poor health awareness, and limited access to healthcare, resulting in the demise of a 50-year-old Congolese refugee.
Here we report a case of a refugee woman with a lithopedion that occurred 9 years prior to resettlement, but remained a physical and psychological burden she bore due to a global distrust of healthcare.A 50-year-old postmenopausal G9P8105 Congolese refugee presented to our health system within 30 days of arrival to the United States with symptoms of abdominal pain and discomfort, chronic dyspepsia, and gurgling sensation after eating for many years.
Her initial office visit physical examination revealed a blood pressure of 162/83 and a firm mobile lower abdominal mass, measuring approximately 15 cm by 20 cm, without tenderness to palpation. When she was asked further about her understanding of this condition, she recounted a difficult story. When she was pregnant with her 9child, she noticed decreased fetal movement.
One week after her initial office visit in the U.S., she presented to the emergency department for evaluation of nausea and intractable vomiting. She was found to be hypokalemic with a potassium of 3 mmol/L. An abdominal x-ray showed a fetal skeleton and non-specific bowel gas pattern with mild distention of small bowel loops suggestive of an ileus. She was admitted overnight for clinical observation.
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