PMC6878799_01
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.
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fig1
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).
Uterine cavity with some clots.
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There was accumulation of hypoechoeic fluid in a lattice appearance suggestive of clots behind the gestational sac (Figure 2).
Thinned and ballooned out lower uterine segment.
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The dissection invariably ended up as a hysterotomy which was repaired after evacuation of the conceptus (Figure 3).
Conceptus and trophoblastic tissue after incision was made through the lower uterine segment.
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The findings were a fourteen week size uterus with a bulge in the lower portion (Figure 4).
The thinned out Caesarean section scar and bleeding from the base of the trophoblastic tissue attachment to the previous Caesarean section scar.
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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).
The hysterotomy wound repaired in two layers.
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fig6
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).