Fig. 1Gross findings of the specimen. Hysterectomy speciment was separated because of uterine perforation. On gross examination, no placenta was found to be growing through the uterine wall.
Fig. 2Fig. 2A. Histologic findings from the resected specimen (H&E, × 200). Invasive intermediate trophoblasts penetrated the myometrium through the superficial and deep portion. Fig. 2B. (H&E, × 200). In the perforation site near serosal side, there was a floating well developed villus admixed with fibrin material.