Low implantation of pregnancy: An imitator of cesarean scar ectopic pregnancy

• Author Details:   
• Kavya Paul Udayasuriyan

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Cesarean scar pregnancy (CSP) is a rare but serious form of ectopic pregnancy where implantation occurs at the site of a prior cesarean scar. This condition poses significant risks, including uterine rupture, severe hemorrhage, and complications like placenta accreta spectrum (PAS). Early and accurate diagnosis through transvaginal ultrasonography is essential for timely intervention. Management strategies vary, from conservative approaches such as methotrexate therapy to surgical options like hysteroscopy and uterine artery embolization, tailored to patient circumstances and reproductive goals. This report outlines a case initially suspected to be CSP, highlighting the diagnostic challenges posed by low implantation mimicking cesarean scar pregnancy, management strategies, and long-term considerations. With increasing cesarean delivery rates globally, CSP requires growing awareness among clinicians and improved management frameworks to optimize maternal outcomes.