Caesarean scar pregnancy is a rarest type of ectopic pregnancy, characterized by vaginal bleeding associated with abdominal pain, usually manifested during the warly first trimester of pregnanacy. It can be diagnosed by serial beta-HCG levels monitoring coupled with ultrasonography. The treatment modalities can be Inj. Methotrexate, D&C associated with laproscopy/ laprotomy or uterine artery embolization. Rupture of ectopic pregnancy may lead to massive haemorrhage, shock & DIC.

Keywords: Caesarean scar pregnancy (CSP); Methotrexate; DIC.