Presentation
Lower quadrant pain. Tenderness at the right groin on examination.
Patient Data
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.
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.