case_images: PMC5780312_01
case_images: PMC5780312_02
case_images: Ultrasound finding at the fist evaluation at emergency room. (A) the anti-verted empty uterus; (B) a rounded image with hyperechoic boundaries, suggestive of fetal head in the upper right side of abdomen; (C) a normal right ovary of 32x13 mm; (D) a left adnexa with a hyperechoic mass of 68x56 mm, with not univocal interpretation.
case_images: ogs-61-154-g001.jpg
case_images: PMC5780312_02_ogs-61-154-g001.jpg
case_images: F1
case_images: At vaginal and abdominal ultrasound examination (Fig. 1), we saw an anti-verted uterus of 97x57 mm, with decidual reaction, a left adnexa with a hyperechoic mass of 68x56 mm, with no univocal interpretation and a normal right ovary of 32x13 mm.
case_images: Fetal connection to left fallopian tube, site of placental implantation.
case_images: ogs-61-154-g002.jpg
case_images: PMC5780312_02_ogs-61-154-g002.jpg
case_images: F2
case_images: The anti-mesial surface showed continuous dripping, so we removed the enlarged tube with the fetus connected by the umbilical cord (Fig. 2).
case_images: Macroscopic cut to the suspected site of placental implantation, to confirm placenta presence.
case_images: ogs-61-154-g003.jpg
case_images: PMC5780312_02_ogs-61-154-g003.jpg
case_images: F3
case_images: An intraoperative macroscopic examination, after a longitudinal left tube cut, confirmed our hypothesis: the placenta was located into the adnexa (Fig. 3).