case_images: PMC6232829_01
case_images: Ultrasonography appearance of a lacunary placenta.
case_images: CRIOG2018-5921495.001.jpg
case_images: PMC6232829_01_CRIOG2018-5921495.001.jpg
case_images: fig1
case_images: An ultrasonographic examination revealed an ongoing viable pregnancy, anamnios and a low-lying anterior placenta with multiple lacunae (Figure 1).
case_images: Ultrasonography aspect of the placenta increta fragment.
case_images: CRIOG2018-5921495.002.jpg
case_images: PMC6232829_01_CRIOG2018-5921495.002.jpg
case_images: fig2
case_images: An ultrasound performed immediately postabortion revealed only a 3 cm isthmic and echoic image suggestive of a retained placenta increta (Figure 2).
case_images: MRI aspect of the anterior uterine sacculation containing the placenta increta fragment with blood clots.
case_images: CRIOG2018-5921495.003.jpg
case_images: PMC6232829_01_CRIOG2018-5921495.003.jpg
case_images: fig3
case_images: It also led to a suspected uterine scar dehiscence with possible loss of substance at this level (Figure 3).
case_images: Operative view of anterior uterine sacculation.
case_images: CRIOG2018-5921495.004.jpg
case_images: PMC6232829_01_CRIOG2018-5921495.004.jpg
case_images: fig4
case_images: A surgical exploration revealed an unruptured isthmic hernial pocket, covered by the peritoneum and traversed by multiple dilated veins (Figure 4).
case_images: Operative view of the opening of the sac containing placenta increta and blood clots.
case_images: CRIOG2018-5921495.005.jpg
case_images: PMC6232829_01_CRIOG2018-5921495.005.jpg
case_images: fig5
case_images: Conducting a transverse hysterotomy to open the hernial sac enabled us to easily detach the vesicouterine peritoneum and to evacuate the hematoma (Figure 5).
case_images: Operative view of the hysterorrhaphy after resection of the sac and its contents.
case_images: CRIOG2018-5921495.006.jpg
case_images: PMC6232829_01_CRIOG2018-5921495.006.jpg
case_images: fig6
case_images: The walls of the sac were then resected along with the increta placental fragments and then a hysterorrhaphy was performed without difficulty by separate points (Figure 6).