Mid-trimester cesarean scar pregnancy: a case report

BACKGROUND: This article reports a unique case of cesarean scar pregnancy, demonstrating importance of early management and diagnosis. CASE PRESENTATION: A 30-year-old pregnant woman with prior history of two cesarean sections found to have cesarean scar pregnancy at approximately 13 weeks’ gestation and underwent a gravid hysterectomy. CONCLUSIONS: While rare, cesarean scar pregnancies should be considered on the differential diagnosis of any pregnant patient with history of cesarean section who presents in early pregnancy with vaginal bleeding and/or cramping. Given the increased rates of cesarean sections in the times of COVID-19, one may anticipate seeing more cases of cesarean scar pregnancies.