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INTRODUCTION ? Utero-cutaneous fistula is a rare clinical presentation . It mostly occurs consecutively to surgical intervention such as Caesarean section and other pelvic surgeries. ? Blood discharge from the caesarean scar during menstruation is a quasi-pathognomonic feature. Imaging modalities, particularly with the injection of contrast material through the cutaneous fistulous opening, confirm the diagnosis. ? The management is mainly surgical. CASE REPORT ? A 36 year old female presented with complaints of bleeding from previous LSCS wound site for past 4 months during menstruation, premenstrual patient develops blisters followed by bleeding ? On examination per abdomen- Soft, vertical scar+, bleeding present from wound site ? P/S examination:-Cervix high up, white discharge present. ? P/V examination:-Cervix flushed with anterior vaginal wall, uterus adherent to anterior abdominal wall, bilateral fornices free, non tender. DISCUSSION ? It is an abnormal communication between the cutaneous surface and the uterine cavity. The main manifestation is blood discharge from the cutaneous fistulous opening during the menstrual period. ? Several possible causes may predispose to this condition. Most of the cases are consecutive to Caesarean sections. Others causes such as multiple surgeries in the abdomen, use of drains, incomplete closure of incisions, septic abortion, pelvic abscesses, incomplete placenta removal, uterovaginal malformation, pelvic actinomycosis due to intrauterine devices, curettage, difficult delivery, or use of forceps ? Multiple imaging techniques such as Fistulography, Hysterosalpingography, CECT, Hysteroscopy confirms the diagnosis CONCLUSION ? Uterocutaneous fistula is a very rare condition that develops following caeserean section. ? Exact incidence not well estimated due to rarity of this condition.