AI Article Synopsis

  • Inflammation of the vas deferens, known as vasitis, can either be acute and painful or asymptomatic, with acute cases often requiring imaging for accurate diagnosis.
  • A male patient in his 40s presented with right groin pain, initially suspected to be an incarcerated inguinal hernia, but a CT scan revealed he actually had acute vasitis instead.
  • This case highlights the importance of considering various diagnoses for acute groin pain and emphasizes that imaging can prevent unnecessary surgical procedures.

Article Abstract

Inflammation of the vas deferens, or vasitis, is a rarely reported condition that can manifest as either acutely painful infectious vasitis or predominantly asymptomatic vasitis nodosa. Acute vasitis is usually presented with ambiguous clinical findings, and a scan is required for a definitive diagnosis. Retrograde urinary pathogens are typically the cause, and it is treatable conservatively. We present a male in his 40s with a one-day history of right groin pain and a history of right indirect inguinal hernia. On examination, there was an impression of an incarcerated inguinal hernia. A CT scan revealed thickening and inflammatory changes associated with the inguinal canal and a picture of the rare inflammatory condition, acute vasitis. This case report illustrates the significance of understanding the wide range of possible diagnoses associated with acute groin pain and swelling and the importance of imaging in the diagnosis, which might help avoid needless operation.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10824465PMC
http://dx.doi.org/10.7759/cureus.51337DOI Listing

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