Caesarean Scar Ectopic Pregnancy: A Case Report

Abstract Introduction: Caesarean scar pregnancy (CSP) is when implantation of the trophoblast occurs in the niche of previous caesarean scar site. The incidence of CSP is documented to be as high as 1:1688 of overall pregnancies, but it still remains underdiagnosed and underreported. The treatment objectives focus on prevention of complications and preservation of fertility. It is very important because a delay in diagnosis and prompt treatment can lead to increased maternal morbidity and mortality. Case Report: We are reporting a rare case of G3P1L1A1 with 5 weeks 6 days period of gestation with previous 1 LSCS with K/C/O T2 DM with Rh Negative pregnancy diagnosed to have Caesarean scar ectopic pregnancy with the help of sonography. Patient underwent suction and evacuation of scar ectopic pregnancy followed by surgical excision of previous LSCS scar and repair by vaginal route. Results: Patient underwent suction and evacuation of scar ectopic pregnancy followed by surgical excision of previous LSCS scar and repair by vaginal route.