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剖腹产瘢痕异位是所有异位妊娠中最罕见的一种。剖宫产瘢痕妊娠(cesarean疤痕妊娠，CSP)的发生率近年来一直呈稳步上升趋势。 We have more of such cases being published in medical literature now. It is defined as when a blastocyst implants on a previous Caesarean scar. The incidence of Caesarean scar ectopic has increased due to increase in number of Caesarean deliveries. Early diagnosis of this can be done by using ultrasound. It is very important because a delay can lead to increased maternal morbidity and mortality. Early diagnosis leads to prompt management and improves the outcome by allowing preservation of future fertility. Magnetic Resonance Imaging (MRI) has important role when sonography is equivocal or inconclusive before therapy or intervention. We are reporting a rare case of G2P1l1 with previous one Caesarean delivery, diagnosed as Caesarean scar ectopic pregnancy with the help of sonography. Patient underwent laparotomy and on histopathological examination Caesarean scar pregnancy was confirmed. Due to the rarity of this condition, there are no specific guidelines available for its management.

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