Cesarean Section Scar Ectopic Pregnancy (CSEP) is a rare but serious condition in which the embryo implants within the myometrium of a previous C-section scar. This can lead to maternal complications such as abnormal placentation, hemorrhage, or death due to uterine rupture. Despite these grave consequences, a standardized treatment protocol has not yet been established. The data remains limited given the rarity of the occurrence. This case report describes a patient who was diagnosed with a CSEP at 7 weeks gestation. She was successfully treated with a combination of systemic methotrexate, intra-gestational sac potassium chloride (KCl) instillation, and transvaginal aspiration of the gestational sac. This report adds to the growing body of literature on safe and effective treatments for CSEP.
Ann Schufreider and Eve C Feinberg
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