[Embryo implantation in cesarean section]

Ectopic pregnancy continues to be a life threatening emergency as well as a menace to women fertility. Documented cases site tubal ectopic pregnancy as the most frequent location in 97% of cases. Being the previous cesarean scar the most rare location (< 1%), therefore, rarely reported.

To explain the process of diagnosis and treatment as well as the discussion of current modalities.

28 years old patient who goes to the outpatient service at Santa Rosa de Lima Hospital for presenting scarcely transvaginal stain of two days of evolution (which was detected by speculoscopy exploration) without referring pain. Transvaginal ultrasound showed 9.1 weeks of gestation pregnancy, located in the previous cesarean scar, with a heartbeat of 150 beats per minute. Subsequently, a laparotomy was preformed obtaining the product without further complications.