Vasitis

Case contributed by Dr Sarah Hudson

Presentation

4 days of right lower abdominal pain and nausea. Previous surgical correction of hypospadias and right inguinal hernia repair. On examination, palpable non-reducible right inguinal swelling and tenderness. Normal testicular examination. CT to look for recurrent acute inguinal hernia.

Patient Data

Age: 55 years
Gender: Male
CT

The right inguinal canal is swollen when compared to the left. There is inflammatory fat stranding within the canal, extending to the scrotum. The intrapelvic vas deferens on the right is hyper-enhancing when compared to the left. The seminal vesicles appear normal. There is no inguinal hernia.

Case Discussion

The finding of inflammation centred on the right spermatic cord within the inguinal canal with mild hyperenhancement of the vas deferens, and the absence of a recurrent inguinal hernia, led to a radiologic diagnosis of vasitis. A course of oral ciprofloxacin was commenced and he was discharged.

Case published with assistance from Dr Vikas Shah.

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Case information

rID: 55021
Case created: 14th Aug 2017
Last edited: 26th Aug 2017
System: Urogenital
Inclusion in quiz mode: Included

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