Imaging in early diagnosis of caesarean scar ectopic pregnancy: A case report

A Caesarean Scar Ectopic pregnancy is implanted in the myometrium or fibrous scar tissue of a previous caesarean section. It is presented with transvaginal bleeding with history of amenorrhea, previous caesarean delivery and positive urine pregnancy test most of the times. They are usually diagnosed on transvaginal ultrasound by visualizing the thinned-out myometrium at anteroinferior aspect of uterus at previous scar site with gestational sac within it but the confirmation is done with MRI. It is not diagnosed and treated on time, it can lead to bleeding, uterine rupture and in some case even maternal death. This case report presents a caesarean scar ectopic pregnancy as suspected by transvaginal ultrasonography and confirmed by MRI pelvis with further intraoperative confirmation of the same.