Ectopic Pregnancy within a Cesarean Section Scar: An Unusual Case Report

Emad M AL-Osail,1 Sager Almulhim2 1Department of General Surgery, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia; 2General Radiology, Imam Abdulrahman Bin Faisal Hospital-National Guard, Dammam, Saudi ArabiaCorrespondence: Emad M AL-Osail, Department of General Surgery, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia, Email [email protected]: Ectopic pregnancy represents a significant challenge in obstetrics due to its potential for severe complications, including maternal morbidity and mortality. Caesarean scar ectopic pregnancy is one of the very rare sites of ectopic pregnancy. Any type of surgical scar on the uterine wall (hysterotomy) including caesarean section, myomectomy or history of abnormally adherent placenta or manual removal of placenta increases the risk of surgical scar ectopic pregnancy. Here, we have described a case of caesarean scar ectopic pregnancy in a 43 years female presenting to the emergency department after being referred from a primary centre with complaints of pelvic pain and vaginal bleeding. Ultrasound confirmed the diagnosis of caesarean section scar ectopic pregnancy. The patient was successfully managed with multi dose regime of methotrexate. Early diagnosis and prompt management of caesarean scar ectopic pregnancy is essential to avoid any life-threatening complications or loss of fertility.Keywords: ectopic, pregnancy, caesarean section scar, hysterotomy, methotrexate