Doppler ultrasound in the sagittal plane at midline in the pelvis demonstrates turbulent peripheral vascularity in the placenta extending across the myometrium to the posterior wall of the bladder. The bladder contour is otherwise smooth; however, the finding remains highly suggestive of placenta percreta. No defect in the uterine wall could be identified, but given the large volume of hemorrhagic ascites, an emergency diagnostic laparoscopy was subsequently performed.