en Gynecology & Obstetrics Gynecology & Obstetrics case report case report <p> <strong> Abstract </strong></p><p>  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. </p> Cesarean scar pregnancy, bicornuate uterus, molar pregnancy. 101 103 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-51&slc_lang=en&sid=1 Fatemeh Davari-Tanha fatedavari@yahoo.com 20031947532846001622 20031947532846001622 Yes Mirza Kochak Khan Hospital, Tehran University of Medical Sciences, Tehran, Iran. Saghar Samimi-Sede 20031947532846001623 20031947532846001623 No Tehran University of Medical Sciences, Tehran, Iran. Zohre Khalilpour 20031947532846001624 20031947532846001624 No Tehran University of Medical Sciences, Tehran, Iran. Fatemeh KhanMohamadi 20031947532846001625 20031947532846001625 No Jalle Mohamadpour, 20031947532846001626 20031947532846001626 No