Abstract

  A32 year-old multigravid patient with 10 weeks of pregnancy was referred to the emergency ward with massive vaginal bleeding and preshock state. Suction curettage, laparotomy, uterine artery ligation, Macdonald cerclage, and hysterectomy was done, in that order. After hysterectomy and massive transfusion she recovered. When a diagnosis of cesarean scar pregnancy is made in the emergency state and especially in the presence of underlying disease, morbidity is high and fertility lost.