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introduction A ruptured scar ectopic pregnancy occurs when a fertilized egg implants on a previous uterine scar, such as from a cesarean section. This rare condition poses high risks, including severe bleeding. aims and objective The aim is to examine the clinical presentation, diagnosis, and management of ruptured scar ectopic pregnancies, highlighting early detection and treatment to prevent complications. Objectives include assessing risk factors, diagnostic accuracy, and evaluating treatment strategies for improved patient outcomes. material and methods This case report details a single instance of a ruptured scar ectopic pregnancy. The patient, a 28 year-old woman with a history of cesarean section, presented with bleeding PV. Initial assessment included a physical examination, transvaginal ultrasound, and serum ?-hCG measurement. medical management followed by Elective laparotomy was performed for management. Data was collected from patient records and clinical observations, with informed consent obtained for publication. Findings were analyzed to evaluate diagnostic and treatment approaches. results The patient presented with bleeding PV and elevated serum ?-hCG levels, consistent with a ruptured ectopic pregnancy. Transvaginal ultrasound revealed a gestational sac implanted on the previous cesarean scar, confirming scar ectopic pregnancy. medical management followed by Elective laparotomy was done and treated a rupture at the scar site, with hemostasis achieved and damaged tissue removed. Postoperative recovery was uneventful, with stabilized vitals and declining ?-hCG levels. Follow-up demonstrated no further complications, highlighting the effectiveness of timely diagnosis and surgical intervention. conclusions This case underscores the importance of recognizing ruptured scar ectopic pregnancy as a rare but life-threatening condition in women with prior cesarean sections. Prompt diagnosis through ultrasound and ?-hCG testing, coupled with emergency surgical intervention, is critical for positive outcomes. Clinicians should consider scar ectopic pregnancy in patients with previous uterine surgeries presenting with acute abdominal pain, as timely management can prevent severe complications and ensure patient safety.