PMC7240790_01
Transvaginal ultrasound showed subchorionic hematoma (arrowhead) located in the uterine fundus.
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She was diagnosed with subchorionic hematoma that was mainly located in the uterine fundus at 11 weeks of gestation without bleeding or pain (Figure 1).
Color Doppler ultrasound revealed that the myometrium was unclear. The subplacental hypervascularity was noted at the back of the placenta.
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The placental position was the right fundus and color Doppler showed subplacental hypervascularity at the back of the placenta (Figure 2), which led us to suspect PAS in the normal placental position (without previa).
Intraoperative findings with a frontal view. The right tubal horn to isthmus of the fallopian tube bulged (arrow) with uterine rupture (reverse side of the uterus, not visible in this image). Uterus body is represented by a star.
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With the uterus exteriorized, the right tubal horn to isthmus of the fallopian tube showed bulging (Figure 3).
The part of the uterine rupture (arrowhead) masked by omental adhesion. This image was taken after removal of the omental adhesion.
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A part of the fallopian tube (together with the adjacent uterus) had ruptured (Figure 4), with the omentum adhering over the rupture.
Macroscopic findings after hysterectomy. The placenta (arrow) was fully adherent to a thin interstitial part of the right fallopian tube.
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The macroscopic findings revealed that the placenta had adhered to a thin interstitial and isthmic part on the right fallopian tube with uterine rupture (Figure 5).