A Rare Case Report of Cesarean Scar Ectopic Pregnancy

Abstract

Cesarean scar ectopic is one of the rarest of all ectopic pregnancies. It is defined as when a blastocyst implants on a previous Cesarean scar. The incidence of Cesarean scar ectopic has increased due to increase number of Cesarean deliveries. Early diagnosis of this can be done by using sonography. It is very important because a delay can lead to increased maternal morbidity and mortality. Early diagnosis leads to prompt management and improves the outcome by allowing preservation of future fertility. Magnetic resonance imaging (MRI) has important role when sonography is equivocal or inconclusive before therapy or intervention. We are reporting a rare case of P2L2A3 with previous two cesarean deliveries with Rh negative blood group which was referred to Northern Railway Central Hospital Delhi from AIIMS Rishikesh in view of retained products of conception at scar site after D&E and medical management with injection methotrexate and patient had persistent heavy bleeding per vagina.