Caesarean Scar Pregnancy Presenting With Septic Shock and Multiorgan Dysfunction in a High-Risk Cardiac Patient: A Case Report

Caesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy characterised by the implantation of the gestational sac at the site of a previous caesarean section scar. With the global increase in caesarean delivery rates, the incidence of CSP has been rising correspondingly. We present a case of a 28-year-old woman with an undiagnosed CSP and approximately eight weeks of amenorrhea, who presented in septic shock, further complicated by preexisting cardiac comorbidities. This case highlights the critical importance of prompt recognition, timely diagnosis, and coordinated multidisciplinary management to optimise outcomes and decrease severe maternal morbidity and mortality, and also strongly discourages self-administration of medical termination of pregnancy (MTP) pills, especially in the absence of clinical evaluation and imaging in pregnant women.