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A viable secondary intra-abdominal pregnancy resulting from rupture of uterine scar: role of MRI

Department of Radiology, University of Malaya Medical Centre, 59100 Kuala Lumpur, Malaysia

View larger version (168K): [in this window] [in a new window]   Figure 1. Coronal MRI image of the abdomen and pelvis using True FISP sequence showing the relationship of the extrauterine fetus to the uterus and placenta(asterisk). The umbilical cord is seen within the amniotic sac (long white arrow). Note the absence of the uterine wall (short white arrows).

View larger version (140K): [in this window] [in a new window]   Figure 2. Sagittal MRI image of the abdomen and pelvis using True FISP sequence showing the fetal cranium(white arrow) in relation to the ruptured uterus. The umbilical cord (black arrow) is seen to attach to the placenta (asterisk). The vagina is seen (black arrowhead).

View larger version (116K): [in this window] [in a new window]   Figure 3. Intraoperative gross specimen of the ruptured uterus and placenta percreta. The umbilical cord(arrow) is seen attached to the placenta.