PMC10066697_01
Ultrasonography revealed multiple lacunae, loss of serosal-bladder interface, placenta previa. Based on these, we suspected a placenta accreta spectrum.
IMCRJ-16-221-g0001.jpg
PMC10066697_01_IMCRJ-16-221-g0001.jpg
f0001
Based on these, we suspected placenta accreta spectra (Figure 1). 
Vertical trans fundal incision made without disrupting the placenta. Incision (arrow) following the delivery of the fetus.
IMCRJ-16-221-g0002.jpg
PMC10066697_01_IMCRJ-16-221-g0002.jpg
f0002
Hysterectomy specimen illustrating bulging placenta through the serosa of the lower segment (arrow).
IMCRJ-16-221-g0003.jpg
PMC10066697_01_IMCRJ-16-221-g0003.jpg
f0003
Histopathology of the uterus showing hemorrhage and fibrin on low power field. The ink (arrow) shows the margin of the serosal surface.
IMCRJ-16-221-g0004.jpg
PMC10066697_01_IMCRJ-16-221-g0004.jpg
f0004
The deep ink on the left side shows the margin serosal surface (Figure 4). 
High power field, where the serosal margin (Arrow) has been infiltrated by variable size chorionic villi lined by cytotrophoblasts and syncytiotrophoblasts (Asterix) with intervillous fibrin as well as hemorrhage.
IMCRJ-16-221-g0005.jpg
PMC10066697_01_IMCRJ-16-221-g0005.jpg
f0005