DOI: 10.36347/sjmcr.2021.v09i04.005

Pages: 329-331

Cesarean scar pregnancy is a rare form of ectopic pregnancy that is life-threatening due to massive hemorrhage or uterine rupture. Earlier transvaginal ultrasound of any pregnancy with a scarred uterus makes the diagnosis and avoids the complications. There is no consensus on the management of this ectopic pregnancy, an individualized therapy must be performed according to clinical and biological features, and the surgeon’s expérience. We report a case of a 43 years old patient, with double scarring uterus, presented on emergency for vaginal bleeding. Transvaginal ultrasound showed a cesarean scar pregnancy. Laparotomy was performed, and on exploration: presence of a bulge at the isthmic level without defect or periferal vascularization. A small incision was made, the pregnancy was removed with lavage and suture of the uterine cavity.