Cesarean Scar Pregnancy: Diagnosis and Treatment

Development of a gestational sac in a cesarean scar of the lower uterine segment is a rare form of ectopic pregnancy. Cesarean scar pregnancy (CSP) is rising in frequency, as are cesarean section deliveries. CSP is a potentially life-threatening condition which, if not detected early and managed aggressively, can result in uterine rupture, massive hemorrhage and maternal death. The most common presentation of CSP is abdominal pain and vaginal bleeding. CSP is diagnosed using ultrasonography, magnetic resonance imaging, and endoscopic modalities. There is currently no standard treatment protocol in CSP. In this article, we aim to find the most appropriate methods of diagnosis and treatment modalities, with their implications in clinical practice for this condition.