A gravida 2 presents to the ED with lower abdominal pain. Previous C-section delivery. The patient has an elevated Beta hCG level. She is referred for imaging with a provisional diagnosis of ? ectopic pregnancy. This turned out to be an ectopic pregnancy in the surgical scar of a previous Cesarian section. On real time imaging you could see the scar in the lower segment of the uterus and clearly visualize the sac in the scar itself. The pregnancy was terminated chemically.