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LSCS scar endometriosis refers to the implantation of functional endometrial tissue into the anterior abdominal wall, often within or near a cesarean section scar. Patients typically present with a palpable, painful mass that worsens cyclically with menstruation. On ultrasound, it appears as a heterogeneously hypoechoic lesion with indistinct margins, occasionally containing cystic spaces or echogenic foci. Color Doppler imaging reveals moderate to increased internal vascularity, often with scattered flow. Common differential diagnoses include suture granuloma, desmoid tumor, incisional hernia, hematoma, and soft tissue sarcoma. Diagnosis is best confirmed with imaging and clinical correlation. Management involves wide surgical excision with histopathological confirmation. Hormonal therapy offers temporary symptom control but is not curative. See more at: A Gallery of High-Resolution, Ultrasound, Color Doppler & 3D Images - Uterus #Endometriosis #LSCSscar #UltrasoundImaging #ColorDoppler #Gynecology #Radiology #AbdominalWallMass #ScarEndometriosis