A Case Series of Four Cesarean Section Scar Ectopic Pregnancies

Cesarean section scar ectopic pregnancy is associated with high morbidity and mortality.With increasing number of cesarean sections being performed, it is likely that we will see increasing rates of cesarean section scar ectopic pregnancies.Ultrasound remains the mainstay of diagnosis however as in two of our cases the diagnosis may not be evident until during management of miscarriage.We present four cases at our hospital, two women with a history of two previous cesarean sections and two women with a history of four previous cesarean sections.We aim to highlight the importance of suspecting cesarean section scar ectopic pregnancy.