Vasitis: a clinical confusion diagnosis with inguinal hernia

Abstract

Vasitis or inflammation of the vas deferens is a rarely described condition categorized as either generally asymptomatic vasitis nodosa or the acutely painful infectious vasitis. Vasitis nodosa, the commonly described inflammation of the vas deferens, is benign and usually associated with a history of vasectomy. Clinically, patients present with a nodular mass and are often asymptomatic and require no specific treatment.

Misdiagnosis of vasitis: a potential diagnostic pitfall with computed tomography

“…However, some studies revealed equivocal ultrasound results, thus advocating the use of further imaging modalities. Lin et al [ 15 ] reported a case of vasitis with negative sonographic findings. Eddy et al [ 16 ] and Kerkeni et al [ 3 ] reported that three patients were initially misdiagnosed to have incarcerated inguinal hernias.…”

“…Unfortunately, few published papers have reported on the diagnosis of vasitis using CT scans since the previous approach to diagnosis was based only on ultrasound assessment. In a typical CT scan of vasitis [ 3 , 4 , 15 – 18 ], edematous changes over the spermatic cord and surrounding fat stranding are usually observed. Since contrast enhancement is dependent on the density of vessels, CT scans of inguinal hernias tend to enhance the bowel wall (peripheral predominance).…”

Sexually transmitted infective vasitis mimicking left inguinal hernia: computed tomography clarifies diagnosis

“…Since then, there have been 10 cases to date confirmed on CT imaging 2,3,5–9 . Two cases had ultrasound reporting an inguinal hernia prior to vasitis being confirmed on CT scan 2,3 .…”

“…Since then, there have been 10 cases to date confirmed on CT imaging. 2,3,[5][6][7][8][9] Two cases had ultrasound reporting an inguinal hernia prior to vasitis being confirmed on CT scan. 2,3 CT or magnetic resonance imaging are the suggested imaging modalities to confirm vasitis.…”

A Case of Vasitis Nodosa with Biphenotypic Differentiation

“…Although rare painful lesions have been reported (2). Vasitis nodosa may occasionally be misinterpreted as a malignant lesion or inguinal hernia clinically, and it is resected when it presents as a mass or a painful lesion (3)(4)(5)(6).…”