The Largest Documented Caesarean Scar Ectopic Managed Laparoscopically: A Case Report

Cesarean scar ectopic is added to the list of ectopic pregnancy. It has become 2nd common site of ectopic pregnancies the after tubal pregnancy. With the global rise in cesarean sections, cesarean scar ectopic pregnancies are being diagnosed more frequently. During a first-trimester ultrasound, in the absence of a gestational sac in the uterine cavity and with a history of previous cesarean sections or uterine surgeries, the anterior myometrium above the internal OS should be observed for a scar ectopic. Delay in diagnosis increases maternal morbidity. This case report presents a patient with an undiagnosed scar ectopic pregnancy beyond 12 weeks of gestation, which had grown to a large size. This is the largest size of scar ectopic pregnancy reported and treated by laparoscopic surgery.