# Ruptured Caesarean Scar Ectopic Pregnancy: A Rare Case of Obstetric Hemorrhage

## TL;DR

A rare case of a ruptured caesarean scar ectopic pregnancy is reported, highlighting the challenges in diagnosing and managing this condition.

## Contribution

This case report adds to the limited clinical literature on ruptured caesarean scar ectopic pregnancies and their management.

## Key findings

- The patient presented with severe anemia and a ruptured caesarean scar containing a fetus and vascular mass.
- Laparotomy revealed hemoperitoneum and successful repair of the scar was performed.
- The case underscores the importance of early detection and management of caesarean scar ectopic pregnancies.

## Abstract

Caesarean scar ectopic pregnancy is the rarest form of ectopic pregnancy. Nowadays, with the rise in caesarean deliveries, along with better awareness and improvement in ultrasound diagnosis, there is an increase in the number and detection of caesarean scar ectopic pregnancy. A 28-year-old female patient with one previous caesarean delivery and a spontaneous abortion at three months visited the obstetrics emergency department due to three months of amenorrhea, abdominal pain, and vaginal bleeding on and off for two days. The patient was noticed to have severe anemia. After stabilizing the patient with blood transfusion, a laparotomy was performed with the presentation of hemoperitoneum and caesarean scar rupture. Fetus and soft vascular mass seen protruding from the previous scar were extracted. The caesarean scar site was repaired in layers.