eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2022-06-13 10 6 176 179 10.12691/ajmcr-10-6-4 AJMCR20221064 article Oadi N. Shrateh oadi.shrateh@students.alquds.edu 1 Mariam Thalji 1 Samer Barahmeh 2 Muayad Salman 3 Haneen Owienah 3 Ayman Altarifi 4 Iyas Tanib 4 Lyudmila Hamarsheh 4 Rabee Adwan 5 Faculty of Medicine, Al-Quds University, Jerusalem, Palestine Department of Obstetrics and Gynecology, Al-Istishari Arab Hospital, Ramallah, Palestine Department of Radiology, Al-Istishari Arab Hospital, Ramallah, Palestine Department of Surgery, Al-Istishari Arab Hospital, Ramallah, Palestine Department of Infectious Disease, Al-Istishari Arab Hospital, Ramallah, Palestine Introduction: Fistula is defined as abnormal communication between two epithelium-lined surfaces. Among all types of uterine fistulae, the utero-cutaneous one is infrequently encountered, especially following a lower uterine segment cesarean section. The classic presentation of patients with utero-cutaneous fistula is cyclical hemorrhage from the incision site of previous CS. Surgical intervention is considered the most effective therapeutic option. Clinical report: A 34-year-old female patient came to our attention complaining of abdominal pain and bloody discharge from the incisional site 2 months after a lower uterine segment cesarean section (LUCS). Utero-cutaneous fistula was detected by using Pelvic MRI. Patient had successful surgical resection of the fistula. Conclusion: Although it¡¯s extremely rare, utero-cutaneous fistula should be included in the differential diagnosis of cyclical abdominopelvic pain and/or discharge after lower uterine segment cesarean section (LUCS). http://pubs.sciepub.com/ajmcr/10/6/4/ajmcr-10-6-4.pdf utero-cutaneous fistula cesarean section fistulous tract magnetic resonance imaging surgical resection