Spontaneous resolution of a scar pregnancy after an unsuccessful dilatation and curettageprocedure: A case report

Cesarean scar pregnancy (csp) is the rarest kind but serious complication of ectopic pregnancy. we presented a 35 year-old woman gravida 4, para 3, with a prior history of cesarean section before 6 months ago was admitted to our department with minimal vaginal bleeding and pelvic pain. ultrasonographic evaluation revealed a regular well-defined gestational sac (gs) located in the lower segment of anterior uterine wall, adjacent to the vesicouterine space, 12*16*11 mm in size (5week 6 day). the case was managed by dilatation and curettage but procedure was unsuccessful. patient was followed up by expectant management. the hcg resolution time was 40-50 days. normal uterin anatomy was achieved after 103 days without complications. about 6 months later the patient has conceived intrauterin pregnancy. csp should be diagnosed and treated as soon as possible to reduce morbidity and preserve fertility. expectant management can be performed for selected patients detected in early first trimester.