PMC5727660_01
Photographs of intraoperative findings. (a) Exploratory laparotomy showing the adherence between the ileum and uterine fundus. (b) The intraluminal ileal mass palpable near the adherence site. (c) The opened ileum revealing a dead fetus. (d) Photograph showing the placenta in the uterus after detaching the ileum from the uterine fundus.
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During the laparotomy, blood was found in the peritoneal cavity and a segment of the ileum attached to the fundus of uterus (Figure 1). The intraluminal content was palpated in the adhered ileal segment (Figure 1). An enterotomy revealed a fetus 7.5 cm in crown-rump length and fresh blood in the ileal lumen (Figure 1). The placental tissue had implanted at the fundal dome of the uterus and eroded into the small bowel (Figure 1).
Photograph of the dead fetus.
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