PMC3149421_01
Ultrasound examination showing intrauterine pregnancy at 14 weeks gestation.
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F1
At admission, the gestational age was calculated to be 14 weeks by sonography (Fig. 1); she had not received any antenatal care.
Ruptured uterus and bulging amnion and placenta enlarging the ruptured hole. arrow: uterine fundus; arrow head: amnion and placenta.
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F2
At the time of laparoscopy, 800 ml of fresh blood and 0.5-cm fundal defect of the uterus were noted (Fig. 2).
Chorionic villi in the myometrium of uterus, which explains the placenta percreta, are noted at microscopic field (x 40).
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F3
The final pathological examination revealed that the chorionic villi had invaded the entire myometrium up to the serosa, confirming the diagnosis of placenta percreta (Fig. 3).