Presentation
Scrotal pain and swelling for 2 months. Tenderness at the right groin and on the right testis on clinical examination.
Patient Data
Age: 35 years
Gender: Male
From the case:
Vasitis
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Thickened & hyperemic right vas deferens and increased echogenicity of adjacent fat tissue at the spermatic cord level.
The hyperemic proximal spermatic cord is noted.
Both testes appear normal.
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 echogenicity of adjacent fat tissue in the spermatic cord.
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