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Cesarean section scar dehiscence shows a wide range of clinical manifestation from being asymptomatic vaginal bleeding, cesarean scar hematoma, uterine rupture, and cesarean scar pregnancy. Reports on cesarean scar hematoma are rare and best treatment option for symptomatic cesarean scar hematoma is not well established and usually physician dependent. We experienced a patient who presented with a cesarean scar hemorrhage unresponsive to conservative therapy and underwent wedge resection of the lower uterine segment to preserve fertility, thus hereby report the case with literature review.