PMC10025137_01
Ultrasound picture shows empty uterus with well apposed endometrium which measures 8.4mm.
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The patient was immediately taken for ultrasound evaluation which was done by a senior consultant radiologist and showed an enlarged empty uterus (Figure 1) with placenta separately identified (Figure 2) and a live fetus in the abdominal cavity.
The placenta is seen separately adjacent to the uterine fundus.
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The patient was immediately taken for ultrasound evaluation which was done by a senior consultant radiologist and showed an enlarged empty uterus (Figure 1) with placenta separately identified (Figure 2) and a live fetus in the abdominal cavity.
Picture shows fetal head adjacent to the splenic hilum.
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The head of the fetus was lying in the splenic hilum, pushing the spleen into the thoracic cavity (Figure 3).
Picture shows tortuously dilated uterine vessels suggesting uterine artery is the feeding artery.
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Except for tortuously dilated right uterine vessels (Figure 4) which may suggest that the placenta was getting its supply from it, no other feeding arteries were seen.
Picture showing relation of the placenta with bowel loops on a linear (A) and curvilinear (B) transducer probes.
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The placenta was clearly separate from the bowel walls (Figure 5A and B).
Fetal part (foot) seen upon entry to the abdominal cavity (A) and neonate with positional calcaneovalgus deformity (B).
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During laparotomy, the abdominal pregnancy was apparent with the fetal foot visualized upon entry with intact membrane (Figure 6A), and a live female neonate weighing 2,060 g and an Apgar score of 8 and 9 in the first and fifth minutes, respectively, was extracted. There was an abnormality on the feet; both feet were dorsiflexed with the abduction of the forefoot (Figure 6B).
Placenta in the peritoneal cavity and the narrow placental pedicle attached to the right adnexa being clamped.
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The placenta had attachment to the broad ligament and the right adnexa with a narrow pedicle (Figure 7).