A spontaneously miscarried 16-week old fetus as a result of intrauterine scarring! Bare in mind this is shown for educational purposes. Scar tissue, or adhesions, can cause pregnancy complications when it forms in, on or around the uterus or fallopian tubes. Adhesions form as the result of trauma, such as surgery or infection. That scar tissue interferes with the embryo’s ability to implant and grow or can cause problems with the placenta. In Asherman's syndrome, intrauterine adhesions/scarring are caused by several uterine curettage procedures for an abortion or retained placenta, as well as due to recurrent pelvic inflammatory diseases. The development of intrauterine scars resulting in adhesions can obliterate the cavity to varying degrees. In the extreme, the whole cavity has been scarred and occluded. Patients typically have amenorrhea and cyclic pelvic pain due to endometrial destruction and obstructed menstrual flow. This case was a repeated miscarriage at 16 weeks. Surgeons went for hysterotomy with bilateral tubal ligation. This is the picture of the fetus in the amniotic cavity. Photo by @zeal4sure