# Cesarean Scar Ectopic Pregnancy: A Case Report

## TL;DR

This case report describes a rare pregnancy implanted in a previous C-section scar and emphasizes the importance of early detection to prevent severe complications.

## Contribution

The paper presents a clinical case highlighting the risks and management of CSEP in women with prior C-sections.

## Key findings

- Hysteroscopic evacuation prevented progression to placenta accreta spectrum.
- Early detection is crucial to avoid maternal mortality and reduce invasive interventions.
- CSEP incidence is rising due to the global increase in C-section rates.

## Abstract

Cesarean scar ectopic pregnancies (CSEP) are a rare type of ectopic pregnancy. This condition occurs when a blastocyst is implanted in the scar left by a previous cesarean section (C-section). CSEP can lead to a risk of maternal hemorrhage, which in severe cases can lead to maternal mortality. In recent decades, the incidence of scar ectopic pregnancies has surged significantly, largely due to the increasing rate of C-sections worldwide. Here, we present a case of a 30-year-old third gravida, with a previous C-section performed a year ago, with no living child. The patient presented with a delayed menstrual period and was subsequently diagnosed with ectopic scar pregnancy. Hysteroscopic evacuation of the ectopic pregnancy was performed, preventing progression to the placenta accreta spectrum. In this case, we aimed to establish the potential influence of previous C-sections on the development of ectopic pregnancies. Given the severity of CSEP and its potential to cause maternal mortality, this case highlights the importance of maintaining a high index of suspicion, particularly in women with prior cesarean deliveries. Early detection of abnormal pregnancies is crucial to preventing complications and reducing the need for invasive surgeries.