Pokhrel, ManojAcharya, Shreedhar PrasadSharma, JyotshnaThapa, Meena2026-03-132026-03-132021https://hdl.handle.net/20.500.14572/5102Manoj Pokhrel Department of Obstetrics and Gynecology, Kathmandu Medical College and Teaching Hospital, Kathmandu, Nepal Shreedhar Prasad Acharya Kathmandu Medical College and Teaching Hospital, Kathmandu, Nepal Jyotshna Sharma Department of Obstetrics and Gynecology, Kathmandu Medical College and Teaching Hospital, Kathmandu, Nepal Meena Thapa Department of Obstetrics and Gynecology, Kathmandu Medical College and Teaching Hospital, Kathmandu, NepalAbstract: Cesarean scar pregnancy is a rare form of ectopic pregnancy which may lead to uterine rupture and catastrophic hemorrhage. We report a case of cesarean scar pregnancy in a 35-year-old female with the past history of cesarean section presented with complaints of amenorrhoea for 6 weeks and non-specific pain. Two Transvaginal sonography was done 48 hours apart which suggested a cesarean scar pregnancy in one and cervical pregnancy on the other. Magnetic Resonace Imaging showed a well-defined cystic lesion of (21x19)mm2 embedded within the previous cesarean scar which confirmed the diagnosis of cesarean scar pregnancy. Laparotomy unveiled uterus around 6 weeks size and a (3x3)cm2 bulge was noted at the site of previous scar in lower uterine segment, where a small incision was given and the gestational sac was removed following which the uterine incision was closed with 2-0 polyglactin suture. High index of suspicion and prompt diagnosis is ofparamount for reducing morbidity and mortality.en-UScesarean sectionlaparotomyscar prganancyArticle