A skillful approach in a case of caesarean scar ectopic pregnancy

Key to a successful outcome in a rare life threatening condition like cesarean scar ectopic pregnancy is early diagnosis and treatment. The risk of massive haemorrhage can lead inevitably to a hysterectomy in past. The most effective method of treatment is not yet found. We report a case of a previous LCSC and one D& E of 35-year-old female (G3P1A1L1) with 7 weeks of amenorrhea and vaginal bleeding. A gestational sac with an embryo in the cesarean scar canal was seen on ultrasonography. The fertility-sparing therapeutic strategy involved cesarean scar curettage to remove the trophoblastic under ultrasound.