case_images: PMC3065870_01
case_images: Transabdominal ultrasound image taken on postpartum day 17. This view of the uterine fundus demonstrates significant persistence of retained placental tissue approximately two weeks after methotrexate administration. Serum betahCG was 1571 UI/L. The distinction between the placental mass (dotted line) and myometrium (asterisk) is shown. Transabdominal ultrasound image taken on postpartum day 24. This view of the uterine fundus shows significant persistence of retained placental tissue approximately three weeks after methotrexate administration. Serum betahCG was 479 UI/L. The distinction between the placental mass (dotted line) and myometrium (asterisk) is depicted.
case_images: JP2010-329618.001.jpg
case_images: PMC3065870_01_JP2010-329618.001.jpg
case_images: fig1
case_images: An abdominal ultrasound (Figure 1(a)) revealed persistent retained placental tissue. Over the next week, the patient was again followed in an outpatient setting (Figure 1(b)).
case_images: CT scan of the patient's abdomen on postpartum day 27 demonstrating the uterus with the retained placenta was demonstrated (arrow). The presence of dilated, fluid filled loops of small bowel with collapse of the large bowel confirmed the diagnosis of a mechanical small bowel obstruction. A possible adhesion was noted between the uterine fundus and the bowel (not shown here).
case_images: JP2010-329618.002.jpg
case_images: PMC3065870_01_JP2010-329618.002.jpg
case_images: fig2
case_images: A CT abdomen confirmed a mechanical small bowel obstruction with a possible adhesion noted between the uterine fundus and small bowel (Figure 2).