Cesarean scar pregnancy: a case report of three cases and a critical review on the management

One of the rarest forms of ectopic pregnancy is represented by the implantation of pregnancy on the scar of caesarean section. The implant in the uterine scar tissue exposes the patient to a risk of massive bleeding, uterine rupture and penetration by the syncytiotrophoblast into the bladder wall. Currently, there is no consensus on the optimal management of this condition. The medical, surgical and radio-interventional approaches are all contemplated. Here we report and discuss the diagnosis and treatment of three cases of caesarean scar pregnancies.