PMC6142763_01
Transabdominal sagittal ultrasound image at 19 weeks showing complete placenta previa (a). Pelvic exam was unable to identify the cervix (b).
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The fetus was in a cephalic presentation (Figures 1(a) and 1(b)). A transabdominal ultrasound scan was performed concomitant with the digital examination (Figure 1(b)).
Re-evaluation of the ultrasound images obtained at 19 weeks. Transabdominal (a) and endovaginal (b) ultrasound images showing the anteriorly located and stretched cervix and lower uterine segment.
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The cervix and the lower uterine segment were elongated and stretched along what was thought to be the anterior wall of the uterus (Figures 2(a) and 2(b)).
(a) Endovaginal ultrasound at 26 weeks showing a normal cervical length of 4.16 cm. (b) Transabdominal ultrasound showed a fundal placenta with breech presentation.
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fig3
At 26 weeks of gestation, upon repeat transvaginal ultrasound scanning, the cervix was found to be 41 mm in length and the placenta was in an anterior-fundal position with the fetus in a breech presentation (Figures 3(a) and 3(b)).