BMJ Case Reports 2012; doi:10.1136/bcr-2012-006925

Successful conservative management of ectopic pregnancy in caesarean section scar

  1. Donald Macfoy2
  1. 1Manchester Medical School, University of Manchester, Manchester, Lancashire, UK
  2. 2Department of Obstetrics and Gynaecology, North Manchester General Hospital, Manchester, Lancashire, UK
  1. Correspondence to Sara Al-Hashimi,{at}


Caesarean scar pregnancy is a rare type of ectopic pregnancy. The authors present a 24-year-old woman 5 weeks after her last menstrual period. She had a history of a single caesarean section which was followed by a normal vaginal delivery. Ultrasound imaging revealed a pregnancy in her lower segment caesarean section scar. The decision on the choice of treatment was influenced mainly by the β-human chorionic gonadotropin levels in the patient's blood. Although a few reports have been published on similar cases, spontaneous resolution of a caesarean scar ectopic pregnancy of less than 5 weeks gestation is yet to be reported. The patient is now asymptomatic and her urine pregnancy test has been confirmed negative.

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