Ruptured caesarian scar ectopic pregnancy

A pregnancy with implantation on the scar of a past caesarian section is uncommon. However, such pregnancies are on the rise due to the increasing number of lower segment caesarian section. One of the complications of such a pregnancy is uterine rupture in early pregnancy which can be life threatening to the patient. The following is a report of a patient who presented at 10 weeks of gestational age with features of hypovolemic shock and lower position of the gestational sac in relation to the uterus with normal fetal heart rate. The diagnosis of ruptured caesarian scar pregnancy was made only after laparotomy.