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Though the best and standard management is still unclear for this condition, the use of intracardiac KCl, and intra sac and placental Methotrexate can be considered in cases of viable Caesarean scar pregnancy.

Injection Methotrexate 25 mg was instilled into the amniotic sac and placenta each.Received Date: Dec 20, 2018 / Accepted Date: Jan 02, 2019 / Published Date: Jan 22, 2019 Citation: Sonowal C Caesarean Scar Pregnancy: A Diagnostic and Therapeutic Dilemma-A Case Report doi: 10.4103/2278-960X.194516 This open-access article is distributed under the terms of the Creative Commons Attribution Non-Commercial License (CC BY-NC) ( which permits reuse, distribution and reproduction of the article, provided that the original work is properly cited and the reuse is restricted to noncommercial purposes.For commercial reuse, contact Introduction: With the increasing caesarean delivery rates, the risk of caesarean scar pregnancy is increasing.Conclusion: Diagnosis of caesarean scar pregnancy is difficult, but transvaginal sonography and colour flow Doppler may be helpful.Though the best and standard management is still unclear for this condition, the use of intracardiac KCl, and intra sac and placental Methotrexate can be considered in cases of viable caesarean scar pregnancy.

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