Abstract:
BACKGROUND:Vasitis or inflammation of the vas deferens is a rare condition, and few case reports with computed tomography images have been published since 1980. CASE PRESENTATION:A 50-year-old man presented with severe right inguinal and lower abdominal pain. Initial diagnosis at the emergency department was incarcerated or strangulated inguinal hernia. The computed tomography scan revealed diffuse edematous changes of right spermatic cord and vas deferens with peripheral fat stranding. Correlating with his clinical symptoms, signs, and imaging findings, the diagnosis of vasitis was made. We report a case of acute vasitis about the cause, symptom, pathogen, differential diagnoses, image findings, and treatment. CONCLUSION:Although very rare, vasitis should be listed as one of the differential diagnosis for inguinal mass lesions. Cross-sectional imaging may be necessary to confirm the diagnosis and exclude differentials such as an inguinal hernia. Recognition of the characteristic image findings can help to make the correct diagnosis and avoid unnecessary surgery.
journal_name
BMC Uroljournal_title
BMC urologyauthors
Chen CW,Lee CH,Huang TY,Wang YMdoi
10.1186/s12894-019-0460-xsubject
Has Abstractpub_date
2019-04-29 00:00:00pages
27issue
1issn
1471-2490pii
10.1186/s12894-019-0460-xjournal_volume
19pub_type
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