Multiple fetal parts, including vertebrae, pelvis and femora, lie posterior to the uterus within the peritoneal cavity with closely associated free fluid and gas.
No intrauterine fetal parts identified.
Enlarged postpartum uterus with a large defect of the posterior aspect of its lower segment.
Inflated Foley catheter balloon in an empty bladder.
Other intra-abdominal viscera are unremarkable (mild bilateral pelvicalyceal fullness c/w 2nd trimester pregnancy).
Conclusion:
Perforated uterus post TOP with extrauterine migration of fetal parts, and free gas and fluid.
Presence of free gas raises possibility of bowel perforation. For urgent obstetric opinion.