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A case of acute vasitis mimicking an incarcerated inguinal hernia with subtle imaging findings
Department of Urology, MedStar Georgetown University Hospital, Washington, District of Columbia, USA
Dec  2020 (Vol.  27, Issue  6, Pages( 10496 - 10499)
PMID: 33325356

Abstract

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  • Acute vasitis, or inflammation of the vas deferens, is a rare condition that classically presents with unilateral groin pain radiating into the scrotum and a bulge or induration along the inguinal canal. As a result, it mimics and is often mistaken for more common pathologies such as inguinal hernia, epididymo-orchitis or testicular torsion. A misdiagnosis may lead to unnecessary surgery and morbidity. Here, we present a case of acute vasitis which was originally diagnosed as an incarcerated inguinal hernia. Finally, we review the imaging findings, which can often be subtle and misinterpreted or missed.