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. 2023 Nov 15;103(1):93–102. doi: 10.1111/aogs.14715

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© 2023 The Authors. Acta Obstetricia et Gynecologica Scandinavica published by John Wiley & Sons Ltd on behalf of Nordic Federation of Societies of Obstetrics and Gynecology (NFOG).

This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

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(A) Transabdominal ultrasound: loss of clear zone (blue arrow) following the placental bulge (white arrow) that suggests placenta accreta spectrum in gray‐scale ultrasound. (B) Doppler ultrasound: bridging vessels (blue arrow) and subplacental hypervascularity in the lower uterine segment (white arrow) in addition to gray‐scale ultrasound. (C) Transvaginal ultrasound: tortuous hypervascularized anechoic spaces <50% of cervical tissue that measured from internal cervical ostium to external cervix. (D) The colpouterine vessels after bladder dissection (black arrow).