Background: While, the number of Caesarean sections performed has grown, so too has the prevalence of caesarean scar ectopic pregnancies, a relatively uncommon type of extrauterine pregnancy. There is an increased risk of maternal hemorrhage, and in the worst-case scenario, maternal death associated with Caesarean scar ectopic pregnancies. Objective: We aimed to preserve the uterus and future fertility by detecting Caesarean scar ectopic pregnancies early and treating them to prevent uterine rupture and bleeding. Subjects and methods: A 23 years female pregnant with previous 2 Cesarean sections, 8 weeks gestational age based on Ultrasound with unsure of late menstrual period assessment. Results: Emergency U/S revealed that there was intrauterine content 5 x 4.7 cm with no vascularity with history of dilatation and curettage (D & C), lax abdomen and minimal vaginal bleeding, magnetic resonance imaging (MRI) in addition to Human chorionic gonadotrophin (HCG) level were requested. Conclusion: MRI revealed rupture of anterior uterine wall, with identification of the bladder dome, HCG at follow up decreased more than 50 % of the initial one.