case_images: PMC7240790_01
case_images: Transvaginal ultrasound showed subchorionic hematoma (arrowhead) located in the uterine fundus.
case_images: CRIOG2020-9408501.001.jpg
case_images: PMC7240790_01_CRIOG2020-9408501.001.jpg
case_images: fig1
case_images: She was diagnosed with subchorionic hematoma that was mainly located in the uterine fundus at 11 weeks of gestation without bleeding or pain (Figure 1).
case_images: Color Doppler ultrasound revealed that the myometrium was unclear. The subplacental hypervascularity was noted at the back of the placenta.
case_images: CRIOG2020-9408501.002.jpg
case_images: PMC7240790_01_CRIOG2020-9408501.002.jpg
case_images: fig2
case_images: The placental position was the right fundus and color Doppler showed subplacental hypervascularity at the back of the placenta (Figure 2), which led us to suspect PAS in the normal placental position (without previa).
case_images: Intraoperative findings with a frontal view. The right tubal horn to isthmus of the fallopian tube bulged (arrow) with uterine rupture (reverse side of the uterus, not visible in this image). Uterus body is represented by a star.
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case_images: PMC7240790_01_CRIOG2020-9408501.003.jpg
case_images: fig3
case_images: With the uterus exteriorized, the right tubal horn to isthmus of the fallopian tube showed bulging (Figure 3).
case_images: The part of the uterine rupture (arrowhead) masked by omental adhesion. This image was taken after removal of the omental adhesion.
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case_images: PMC7240790_01_CRIOG2020-9408501.004.jpg
case_images: fig4
case_images: A part of the fallopian tube (together with the adjacent uterus) had ruptured (Figure 4), with the omentum adhering over the rupture.
case_images: Macroscopic findings after hysterectomy. The placenta (arrow) was fully adherent to a thin interstitial part of the right fallopian tube.
case_images: CRIOG2020-9408501.005.jpg
case_images: PMC7240790_01_CRIOG2020-9408501.005.jpg
case_images: fig5
case_images: The macroscopic findings revealed that the placenta had adhered to a thin interstitial and isthmic part on the right fallopian tube with uterine rupture (Figure 5).