Ectopic vas deferens: a report of two cases and review of the literature

Mahboubi, Soroosh; Spackman, TJ

doi:10.2214/ajr.130.6.1093

Cited by 8 publications

(1 citation statement)

References 5 publications

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“…Ductus deferens duplication is most commonly noticed during orchiopexy, inguinal hernia, vasectomy, varicocelectomy, and radical prostatectomy [ 5 , 6 ]. The clinical presentation of this case includes anus atresia, hypospadias with undescended testes, infertility, swollen scrotum, hematuria, and urinary tract infection [ 7 ]. The retrograde passage of urine into the vas deferens can cause epididymitis and even scrotal abscesses when associated with hydroureter because of vesicoureteral reflux or obstruction [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

Multiple vas deferens with polyorchidism and many congenital malformations in a symptomatic 11-year-old male patient: a rare case report

Mansour¹,

Ismail

Dashan

et al. 2022

BMC Urol

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Background Ductus deferens may manifest in a variety of anomalies such as its absence, duplication, ectopy, or diverticulum. Ectopic seminal tract opening has two main types, ectopic ejaculatory duct opening, and ectopic vas deferens opening. Generally, ductus deferens anomalies affect approximately 0.05% of the population. Patients may be asymptomatic or complaining of urinary tract infections and/or epididymitis. Most of these cases are associated with renal dysplasia. To confirm the diagnosis Cystourethroscopy catheterization and retrograde urethrogram should be performed, but the definitive diagnosis is done by vasography. The definitive treatment is complete surgical resection of the pathological urogenital connection. This case is commonly discovered while exploring other findings such as testicular torsion and inguinal hernia. Case presentation We report a rare case of an 11-year-old male who presented with gross hematuria and numerous congenital malformations including a left polydactyly clubfoot, polyorchidism, with several surgical procedures, and left kidney dysgenesis. Surgery was performed for a left inguinal hernia, during which a third undescended testicle was discovered incidentally and was eradicated. A retrograde urethrogram was performed to establish the diagnosis. A fistula- that is connected with the left ureter- was resected. The histopathologic findings confirmed the diagnosis of true duplication of the Vas deferens, with communication between the ureter and the vas deferens. By follow-up, the kidney function tests were within normal limits. Conclusions This case report aims to highlight the early diagnosis and management of the duplicated vas deferens and the associated congenital malformations to improve the prognosis and kidney function and to avoid long-term complications.

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Section: Discussionmentioning

confidence: 99%

Multiple vas deferens with polyorchidism and many congenital malformations in a symptomatic 11-year-old male patient: a rare case report

Mansour¹,

Ismail

Dashan

et al. 2022

BMC Urol

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Congenital Anomalies of the Vas Deferens and Epididymis

Kroovand¹,

Perlmutter²

1981

Pediatric Andrology

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Ectopia of the vas deferens

1995

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We present a case of bilateral ectopic vas deferens with insertion in the posterior bladder, a rare congenital anomaly related to abnormal distal Wolffian duct development. Common presentations include urinary tract infections, epididymitis or a swollen scrotum although this abnormality can be an asymptomatic, incidental finding. There is also a strong association with anorectal malformations, ureteral ectopia and vesicoureteral reflux.

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Ectopic vas deferens: a report of two cases and review of the literature

Cited by 8 publications

References 5 publications

Multiple vas deferens with polyorchidism and many congenital malformations in a symptomatic 11-year-old male patient: a rare case report

Multiple vas deferens with polyorchidism and many congenital malformations in a symptomatic 11-year-old male patient: a rare case report

Congenital Anomalies of the Vas Deferens and Epididymis

Ectopia of the vas deferens

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