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case_images: Ultrasonography revealed multiple lacunae, loss of serosal-bladder interface, placenta previa. Based on these, we suspected a placenta accreta spectrum.
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case_images: Based on these, we suspected placenta accreta spectra (Figure 1). 
case_images: Vertical trans fundal incision made without disrupting the placenta. Incision (arrow) following the delivery of the fetus.
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case_images: Hysterectomy specimen illustrating bulging placenta through the serosa of the lower segment (arrow).
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case_images: Histopathology of the uterus showing hemorrhage and fibrin on low power field. The ink (arrow) shows the margin of the serosal surface.
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case_images: The deep ink on the left side shows the margin serosal surface (Figure 4). 
case_images: High power field, where the serosal margin (Arrow) has been infiltrated by variable size chorionic villi lined by cytotrophoblasts and syncytiotrophoblasts (Asterix) with intervillous fibrin as well as hemorrhage.
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