DOI: 10.36347/sjams.2019.v07i03.061

Pages: 1178-1181

Scar ectopic pregnancy is the rarest form of ectopic pregnancy. Incidence is 1:1800 of all pregnancies and 1.2% of all ectopic pregnancies. It is the abnormal implantation of embryo within the myometrium and fibrous tissue in previous scar of the uterus, following caesarean section. Accurate early diagnosis and effective management are important in reducing the maternal mortality. Early diagnosis is done with the help of TVS and serum beta HCG levels. MRI can be used for confirmation of the findings of ultrasound. Effective treatment in the form of termination of pregnancy before rupture and resection of pregnancy mass followed by proper suturing, which will preserve future fertility, should be carried out. We are reporting a rare case of G3P2L2 with previous two caesarean deliveries, diagnosed as caesarean scar ectopic pregnancy with the help of ultrasound and MRI. Patient underwent laparotomy and the recovery was uneventful.