case_images: PMC7532851_01
case_images: showing placenta about 1.3cm from the internal cervical os
case_images: PAMJ-37-24-g001.jpg
case_images: PMC7532851_01_PAMJ-37-24-g001.jpg
case_images: F1
case_images: The placenta was located at the posterior uterine wall with the inferior edge seen about 1.3cm from the internal cervical os (Figure 1).
case_images: showing velamentous vessel overlying internal cervical os
case_images: PAMJ-37-24-g002.jpg
case_images: PMC7532851_01_PAMJ-37-24-g002.jpg
case_images: F2
case_images: A velamentous vessel was seen lying across the internal cervical os (Figure 2).
case_images: PMC7532851_02
case_images: transvaginal ultrasound with power Doppler showing the fetal vessel between a bilobed placenta
case_images: PAMJ-37-24-g003.jpg
case_images: PMC7532851_02_PAMJ-37-24-g003.jpg
case_images: F3
case_images: A further assessment with transvaginal ultrasound showed the vessel was between the succenturiate lobe and the main placenta on power Doppler (Figure 3).
case_images: transvaginal ultrasound with pulse wave Doppler showing arterial waveform in fetal vessel
case_images: PAMJ-37-24-g004.jpg
case_images: PMC7532851_02_PAMJ-37-24-g004.jpg
case_images: F4
case_images: Additional evaluation with pulse wave Doppler revealed an arterial waveform which was consistent with a fetal arterial vessel (Figure 4).
case_images: PMC7532851_03
case_images: two images stacked side by side showing an interconnecting vessel overlying the internal cervical os on power Doppler (A) and low lying bilobed placenta (B)
case_images: PAMJ-37-24-g005.jpg
case_images: PMC7532851_03_PAMJ-37-24-g005.jpg
case_images: F5
case_images: Further evaluation with transvaginal ultrasound revealed a vessel overlying the internal cervical os and connecting the two lobes of the placenta (Figure 5).
case_images: intraoperative image showing multiple aberrant umbilical vessels unprotected by Wharton s jelly (black pointer) at the lower uterine segment: the blue pointer shows umbilical vessels protected by the Wharton s jelly
case_images: PAMJ-37-24-g006.jpg
case_images: PMC7532851_03_PAMJ-37-24-g006.jpg
case_images: F6
case_images: Intraoperative findings revealed multiple umbilical vessels unprotected by the Wharton s jelly on the fetal membrane (Figure 6).