| Summary: | Caesarean scar ectopic pregnancy is a rare form of ectopic pregnancy where gestational sac is implanted in the myometrium at the site of previous caesarean scar. Incidence of scar pregnancy is increasing due to the rise in caesarean section (CS) rate. A 26-year-old female [G1P1L0 with 3MA, prev. lower segment CS (LSCS)] came with acute abdomen and hypovolemic shock. Caesarean scar pregnancy was diagnosed. The patient was resuscitated and emergency laparotomy and resection of ectopic mass was done. In women with a history of caesarean scar pregnancy, early ultrasound should be performed in subsequent pregnancies in order to establish the location of implantation, and make early diagnosis so that conservative management is initiated to avoid severe maternal morbidity and spare fertility in patients with cesarean scar pregnancy.
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