case_images: PMC6878799_01
case_images: An empty endocervical canal and a gestational sac in the lower uterine segment with a ballooned out lower uterine segment, GS = Gestational sac, Cx = Cervix, UB = Urinary bladder.
case_images: CRIOG2019-4257696.001.jpg
case_images: PMC6878799_01_CRIOG2019-4257696.001.jpg
case_images: fig1
case_images: A repeat pelvic ultrasound showed a gestational sac containing single viable fetal pole in the lower segment of the uterus bulging into the bladder (Figure 1). The endocervical canal was empty (Figure 1).
case_images: Uterine cavity with some clots.
case_images: CRIOG2019-4257696.002.jpg
case_images: PMC6878799_01_CRIOG2019-4257696.002.jpg
case_images: fig2
case_images: There was accumulation of hypoechoeic fluid in a lattice appearance suggestive of clots behind the gestational sac (Figure 2).
case_images: Thinned and ballooned out lower uterine segment.
case_images: CRIOG2019-4257696.003.jpg
case_images: PMC6878799_01_CRIOG2019-4257696.003.jpg
case_images: fig3
case_images: The dissection invariably ended up as a hysterotomy which was repaired after evacuation of the conceptus (Figure 3).
case_images: Conceptus and trophoblastic tissue after incision was made through the lower uterine segment.
case_images: CRIOG2019-4257696.004.jpg
case_images: PMC6878799_01_CRIOG2019-4257696.004.jpg
case_images: fig4
case_images: The findings were a fourteen week size uterus with a bulge in the lower portion (Figure 4).
case_images: The thinned out Caesarean section scar and bleeding from the base of the trophoblastic tissue attachment to the previous Caesarean section scar.
case_images: CRIOG2019-4257696.005.jpg
case_images: PMC6878799_01_CRIOG2019-4257696.005.jpg
case_images: fig5
case_images: There was a gestational sac approximately one centimeter from the internal cervical os of the uterus embedded in the myometrial wall with retroplacental clots of approximately 400 ml (Figures 5 and 6).There was thinning out of the wall of the lower uterine segment (Figure 6).
case_images: The hysterotomy wound repaired in two layers.
case_images: CRIOG2019-4257696.006.jpg
case_images: PMC6878799_01_CRIOG2019-4257696.006.jpg
case_images: fig6
case_images: There was a gestational sac approximately one centimeter from the internal cervical os of the uterus embedded in the myometrial wall with retroplacental clots of approximately 400 ml (Figures 5 and 6).There was thinning out of the wall of the lower uterine segment (Figure 6).