Abstract
Cesarean scar ectopic pregnancy is a complex iatrogenic pathology occurring in 1:1,800 to 1:2,200 of all pregnancies. It is associated with high maternal morbidity and mortality; therefore, early diagnosis and effective management are of utmost signicance. Symptoms include amenorrhea, pelvic pain and vaginal bleeding in the rst trimester. The investigation of choice is transvaginal ultrasound. In equivocal cases, magnetic resonance imaging can help in conrming the diagnosis. Treatment modalities are dictated by the case presentation, gestational age and size, type of implantation, hemodynamic stability, and patient's desire for future fertility. We report a rarest case of caesarean scar ectopic pregnancy managed by conservative surgical approach after failed medical management
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