Case presentation A 26-year-old primigravida presented to the emergency department with abdominal pain and vaginal bleeding. She appeared restless but was alert and oriented. Physical examination Advanced gestation noted Ultrasound revealed fetal biometry consistent with approximately 21 weeks and five days.
Obstetric ultrasonography – Fetal biometry Biparietal diameter: 4.67 cm (20w1d) Head circumference: 18.24 cm (20w5d) Abdominal circumference: 19.06 cm (23w6d) Femur length: 3.76 cm (22w1d) Uterine findings 3.1 cm defect in the uterine fundus (Cover image A) Herniation of the amniotic sac and fetal parts into the peritoneal cavity (Cover image B) Fetal parts are seen near the liver. No fetal cardiac activity or movement Spalding sign present (overlapping fetal skull bones) Anterior placenta, grade II, low-lying (1.2 cm from internal os) Cervical length: 3.2 cm Reference : Cureus…
