Pregnancy over caesarean scar site-account of four unusual cases in the form of a case series

Caesarean scar ectopic pregnancy (CSEP) is an ectopic pregnancy located in the lower uterine segment. Although it is one of the rarest types of ectopic pregnancy, the worldwide increasing rate of caesarean sections has made it important for young gynaecologists to be aware of the challenges posed by CSEP and its successful management. Doppler ultrasounds play a major role in its diagnosis. Early diagnosis is the key to a good outcome as untimely delay can lead to life-threatening haemorrhage, uterine rupture and irreversible loss of fertility. We present a case series of 4 patients of caesarean scar site ectopic pregnancy who presented to the gynaecology emergency and were treated successfully with various modalities depending on their patient profile.