Vasitis

Case contributed by Dr Servet Kahveci

Presentation

Lower quadrant pain. Tenderness at the right groin on examination.

Patient Data

Age: 35 years
Gender: Male
Ultrasound

On transverse image;

Left image shows a thickened vas deferens and increased echogenity of adjacent fat tissue at the spermatic cord level. 

Right image shows a normal vas deferens at the spermatic cord level.

On longitudinal image;

Thickened vas deferens and increased echogenity of adjacent fat tissue at the spermatic cord level. 

 

Annotated image

On transverse images:

Left image shows a thickened vas deferens (yellow arrow) and increased echogenity of adjacent fat tissue at the spermatic cord level. 

Right image shows a normal vas deferens (red arrow) at the spermatic cord level.

On longitudinal image;

Thickened vas deferens (yellow arrow)  and increased echogenity of adjacent fat tissue (black arrows) at spermatic cord level. 

Case Discussion

Vasitis is a rare inflammatory disorder of the vas deferens. It may be isolated or associated with orchitis, epididymitis, seminal vesiculitis and prostatitis. Vasitis can happen through a retrograde infection as orchitis and epididymitis. On ultrasound, it’s easily identified with thickened vas deferens and increased echogenity of adjacent fat tissue in the spematic cord.

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Case information

rID: 59758
Published: 14th May 2018
Last edited: 14th Aug 2019
System: Urogenital
Inclusion in quiz mode: Included
Institution: Sevgi Private Hospital

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