(Disclaimer: This article is for popular science purposes only, in order to protect the privacy of the patient, the relevant information in the following content has been processed) Abstract: The patient was 43 years old, menstruation appeared irregular, menopause, at first did not care, and then appeared nausea, vomiting and other symptoms, self-measurement of the early pregnancy test paper was positive, and immediately came to the hospital. ultrasound suggests that the cesarean section keloidal pregnancy, belonging to a special type of ectopic pregnancy, need to terminate the pregnancy in time. The patient is hospitalized after the diagnosis is clear. After a clear diagnosis, the patient was hospitalized and underwent uterine artery interventional embolization, followed by hysterectomy. At the time of review, there was no intrauterine residue in the ultrasound, and the patient’s vaginal bleeding symptoms disappeared. Basic information] Female, 43 years old [Type of disease] Cesarean section scar pregnancy [Hospital] Huangshi Central Hospital [Time of consultation] May 2022 [Treatment plan] Uterine artery interventional embolization + hysterectomy [Cycle of treatment] Hospitalization for 4 days, 1 week later review [Treatment effect] Ultrasound examination of the uterus with no residue, the patient’s vaginal bleeding symptoms disappeared I. Initial consultation The patient came to our hospital accompanied by her family. The patient came to our hospital accompanied by her family, complaining of menopause and early pregnancy reaction. We examined and questioned the patient, and learned that the patient had regular and normal menstruation without dysmenorrhea, and her last menstruation was on April 11th, and she had early pregnancy reaction such as nausea and vomiting in the morning. During the period of menopause, the patient thought that the irregularity of menstruation was caused by old age, and then due to the occurrence of early pregnancy reaction, self-testing early pregnancy test was positive and found to be pregnant, and at present, there was no vaginal bleeding, and there was no pain in the abdomen. After the patient’s physical examination and ultrasound examination, it was found that the patient’s HCG value reached 190199.8mIU/ml, and the ultrasound suggested cesarean section uterine incision pregnancy, and the preliminary diagnosis was cesarean section keloidal pregnancy, so it was recommended that the patient be hospitalized for immediate termination of the pregnancy, and the patient and her family actively cooperated with the treatment. Second, the treatment process After the patient was admitted to the hospital, improve the relevant examination, consistent with the characteristics of cesarean section scar pregnancy, and communicate with the patient and his family, told him that the cause of the disease is due to the fertilized egg implanted in the site of the original cesarean section incision, and at present the HCG rise is obvious, and ultrasound under the observation of the embryo survives, and the continuation of the pregnancy has the risk of hemorrhage and uterine rupture. Therefore, it was recommended that the patient undergo uterine artery interventional embolization to temporarily reduce the blood supply to the uterus, and then to reduce the risk of hemorrhage when the uterus was removed. After 4 days of hospitalization, the patient’s HCG decreased significantly to 7,038.1 mIU/ml, and she was discharged with a small amount of vaginal bleeding, no abdominal pain and no discomfort. The patient’s body recovered well after surgical treatment, the HCG dropped significantly, there was a small amount of vaginal bleeding, no pain in the abdomen, which was considered to be a normal manifestation of post-abortion, the surgical process went smoothly, there was no obvious discomfort after the operation, and the early pregnancy reaction had already disappeared, so she signed for the discharge procedure and observed at home by herself. One week after discharge, she returned to the hospital for review, and no intrauterine residue was detected by ultrasound, and the patient’s vaginal bleeding disappeared. Precautions We are glad that the patient has recovered after treatment, but after discharge, the patient should pay attention to vulvar hygiene to reduce the risk of infection, and it is recommended to rest for 2 weeks. Appropriate increase in diet and nutrition, to light diet, do not eat spicy stimulating food, less late at night, so as to avoid digestive discomfort, immunity decline. Patients need to go back to the hospital for review after 1 week of discharge, and are advised to consult the doctor immediately if there is any discomfort such as worsening of abdominal pain or increased bleeding. V. Personal perception Cesarean scar pregnancy is a special type of ectopic pregnancy. With the development of ultrasound technology and the gradual increase of cesarean section rate, the incidence of cesarean scar pregnancy is getting higher and higher. Normal pregnancy tissue should be deposited at the bottom of the uterus, even if the pregnancy tissue is in the uterus, incision pregnancy is ectopic pregnancy, which needs to be terminated in time. In this case, the pregnancy was deposited in the cesarean scar site, due to the thin tissue, rich blood supply, early asymptomatic, and continue to develop easy to uterine rupture, so once found to terminate the pregnancy in a timely manner.