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  • Gas in a rounded shape, surrounding very large fetus with head wedged in pelvic canal; fetal skull measuring nearly same size as pelvic diameter; mottled gas in fetal abdomen; possible free air in maternal abdomen; collapse of fetal skull bones
  • Fetal/maternal disproportion and dystocia; dead fetus; gas in the uterus and in the fetus and possibly free in the maternal abdomen suggesting uterine rupture
  • Surgery: Ruptured uterus with free air and fluid in abdomen; dead, mature single fetus; communication between colon and uterus with no regional adhesions – suspect congenital?
  • Points were deducted if abdominal ultrasound was recommended to evaluate for fetal vitality, since the fetus is surrounded by gas and there are multiple radiographic signs of fetal demise