Presented with complaint of Dysmenorrhoea for last 2 yrs. LSCS was done 7 yrs back.
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There is an irregular, infra-umbilical, anterior abdominal wall lesion ( 19 x 15 x 11 mm ) in relation to previsous LSCS scar. It is in deeper part of subcutaenous fat plane; abutting anterior surface of rectus abdominis. The lesion is hypoechoic without calcification / cystic changes. Lesion is not compressible. There are few flow signals in peri-pheral part of the lesion.
Patient with previous LSCS presented with complaint of dysmenorrhea. Ultrasound shows an anterior abdominal wall lesion in vicinity of LSCS scar. Ultrasound findings with clinical background favor scar endometriosis.
Surgical excision of lesion was done. Histopatholgy revealed scar endometriosis. Free margins were noted in histopathology sample.