Abstract
Cesarean scar ectopic (CSE) is a rare life-threatening condition associated with hemorrhage,
uterine rupture, disseminated intravascular coagulation or death during pregnancy.
A rampant increase is worrisome. Early diagnosis is critical; awareness and high index
of suspicion are essential. We report a 34-year-old woman with two previous cesarean
sections, who was diagnosed to have an unruptured, viable CSE with high βHCG level
(49,637. 08 mIU/mL). Local as well as systemic methotrexate failed initially. However,
success was achieved when modified medical treatment was adopted.
Keywords
Cesarean scar - Ectopic pregnancy - Methotrexate
