patients diagnosed with cesarean section scar ectopic pregnancy type II will be divided into two groups, one will undergo surgical excision and the other one will undergo ultrasound-guided evacuation in order to compare safety and efficacy of both techniques.

Inclusion Criteria:

• patients diagnosed with cesarean scar ectopic pregnancy Type II in the 1st trimester.

Exclusion Criteria:

• patients with cesarean scar pregnancy type 2 above 14 weeks.
• Type I and type III cesarean section scar pregnancy.
• patients presented with massive bleeding or shock.
• Heterotopic pregnancy.
• Simultaneous Hysterectomy or Sterilization.

patients diagnosed with cesarean section scar ectopic pregnancy type II and undergoing treatment in sohag university hospital.