case_images: PMC4260288_01
case_images: Sonography view of hypoechotic mass in the uterus
case_images: ABR-3-240-g001.jpg
case_images: PMC4260288_01_ABR-3-240-g001.jpg
case_images: F1
case_images: Transvaginal sonography was performed as requested: UT > NI, retrovert uterus, endometrial thickness = 2.6 mm, hypoechotic mass about 8 cm in the lower uterine segment with necrotic change and increased vascularity with low resistance was seen around it [Figure 1].
case_images: Uterus with lower segment mass
case_images: ABR-3-240-g002.jpg
case_images: PMC4260288_01_ABR-3-240-g002.jpg
case_images: F2
case_images: Hysterectomy was performed immediately for treatment of hemorrhage-induced hypotension, fluid replacement and packed blood cells and blood products were administered [Figure 2].
case_images: Histopathology examination demonstrates trophoblastic invasion into the myometrium
case_images: ABR-3-240-g003.jpg
case_images: PMC4260288_01_ABR-3-240-g003.jpg
case_images: F3
case_images: Definitive pathology of the surgical specimen led to a diagnosis of necrotic and hemorrhagic placental tissue, consistent with placenta previa and placenta increta [Figure 3].
case_images: PMC4260288_02
case_images: Mixed echo lesion in the uterine cavity
case_images: ABR-3-240-g004.jpg
case_images: PMC4260288_02_ABR-3-240-g004.jpg
case_images: F4
case_images: Uterine mass in the lower segment after pathology shows placenta increta
case_images: ABR-3-240-g005.jpg
case_images: PMC4260288_02_ABR-3-240-g005.jpg
case_images: F5
case_images: A total abdominal hysterectomy was performed [Figure 5].
case_images: Histopathology examination demonstrates trophoblastic invasion into the myometrium
case_images: ABR-3-240-g006.jpg
case_images: PMC4260288_02_ABR-3-240-g006.jpg
case_images: F6
case_images: After surgery, BHCG became negative and histopathology reported a retained placenta increta involving the lower uterine segment without atypical trophoblastic cells [Figure 6].