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The reported incidence is 1/1800 to 1/2216 of all caesarean deliveries.
The case reported here describes the use of intracardiac Potassium chloride, and intragestational sac and placental Methotrexate injection in a viable Caesarean scar pregnancy and its follow up.
A 33 year old lady, G3P1L1A1 came to casualty at 8 weeks 3 days period of gestation with a transabdominal sonography reporting a suspected scar pregnancy.
She had history of one episode of sudden onset dull aching pain in lower abdomen which subsided on its own. She had history of abortifacient intake 4 days before.
One week after this procedure, serum β HCG dropped to 6691 m IU/ml and TVS showed residual products of conception in the previous sac site.
Access to society journal content varies across our titles.The fetus was observed for 5 minutes for confirming absence of cardiac activity.The patient was discharged on day 5 without complications and advised to follow up with weekly serum β HCG reports.Received Date: Dec 20, 2018 / Accepted Date: Jan 02, 2019 / Published Date: Jan 22, 2019 Citation: Sonowal C Caesarean Scar Pregnancy: A Diagnostic and Therapeutic Dilemma-A Case Report doi: 10.4103/2278-960X.194516 This open-access article is distributed under the terms of the Creative Commons Attribution Non-Commercial License (CC BY-NC) ( which permits reuse, distribution and reproduction of the article, provided that the original work is properly cited and the reuse is restricted to noncommercial purposes.For commercial reuse, contact Introduction: With the increasing caesarean delivery rates, the risk of caesarean scar pregnancy is increasing.