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/PMC10824465 | PMC |
http://dx.doi.org/10.7759/cureus.51337 | DOI Listing |
Cureus
April 2024
Department of Family and Community Medicine, College of Medicine, University of Bisha, Bisha, SAU.
Radiol Case Rep
August 2024
Rotherham General Hospital, Moorgate Rd, Rotherham S60 2UD.
Vasitis is inflammation of the vas deferens, which can be divided into acute inflammatory vasitis or chronic vasitis nodosa. Acute vasitis can present with inguinal pain, swelling, or a lump, which could mimic other common pathologies occurring at this site, particularly inguinal hernia. While ultrasound is effective in the diagnosis of epididymitis, orchitis, and hernia, this case illustrates the importance of cross-sectional imaging to establish the correct diagnosis of vasitis, to aid in the prevention of unnecessary surgical exploration and to expedite antibiotic treatment.
View Article and Find Full Text PDFCureus
December 2023
Urology, Wirral University Teaching Hospitals, Wirral, GBR.
Urol Ann
October 2023
Department of Urology and Nephrology, King Fahd Military Medical Complex, Dhahran, Saudi Arabia.
Clin Imaging
December 2023
University of California, Los Angeles, United States.
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