Rare Case of Scar Ectopic Pregnancy with No Cardiac Activity

This report is about case of CSP diagnosed at Government General Hospital Nizamabad. A woman of age 32 yrs with obstetric formula G3P2L2 with previous two cesarean section with 6 weeks and 2 days of amenorrhea and UPT positive came with complaints of bleeding per vagina and abdominal pain. On trans abdominal sonography CSP was confirmed. There was no cardiac activity seen and uterus was found to be retroverted. Initially serum HcG levels were <10,000mIU/ ml therefore it was managed medically using systemic Methotrexate followed by uterine evacuation and products of conception were sent to histopathological examination. Key words: cesarean scar pregnancy, no cardiac activity, 3rd gravida, retroverted uterus