Pregnancy on a cesarean scar is a rare form of ectopic pregnancy that can endanger the life and health of the patient, particularly due to the risks of hemorrhage or early uterine rupture. The clinical presentation is characterized by pelvic pain and/or variable intensity metrorrhagia in patients with a history of hysterotomy. The diagnosis is established through a transvaginal ultrasound. Different treatment options have overlapped, sometimes potentially to exacerbate the situation.
We discuss A 40-year-old pregnant woman with prior history of two cesarean sections found to have cesarean scar pregnancy at approximately 10 weeks’ gestation and underwent a laparotomy. The purpose of our study was to focus on the diagnostic difficulties, the therapeutic and evolutionary modalities of this disease.