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Background: Cesarean scar pregnancy is a rare form of ectopic pregnancy with an incidence of 1:1800 to 1:2200 pregnancies. There is currently no consensus as to the most effective management of cesarean-scar ectopic pregnancy, and little is known about the outcome of subsequent pregnancies. Case report: We report here a very rare case of recurrent vesicular mole in an ectopic pregnancy at scar site with bladder invasion and its management. Conclusion: There is currently no consensus as to the most effective management of cesarean-scar ectopic pregnancy, and little is known about the outcome of subsequent pregnancies. We show that medical management was effective in this patient but further studies are needed to decide ideal management in such cases.

Mole in the Hole: A Rare Case of Recurrent Invasive Vesicular Mole in an Ectopic Pregnancy at Scar Site with Bladder Invasion