A detour in the primary management of cesarean scar pregnancy

Abstract EN

Cesarean scar pregnancy (CSP) is considered a rare type of ectopic pregnancy.

It is associated with high morbidity and mortality rates.

It accounts for less than 1% of total pregnancies.

There are different types of management options according to the patient’s clinical status as well as the hospital protocol.

A thirty-five-year-old gravida 3 para 2 presented at six weeks of gestation with a history of mild abdominal pain and vaginal bleeding.

She was diagnosed with cesarean scar pregnancy by transvaginal ultrasound.

Initially, it was planned to manage her medically by methotrexate; however, due to a change in the patient’s clinical status, she was managed surgically.