Vasitis Nodosa: A New Clinical Entity Simulating Tuberculosis of the Vas Deferens

Benjamin, John A.; Robertson, Thomas D.; Cheetham, John G.

doi:10.1016/s0022-5347(17)70586-1

Cited by 21 publications

(11 citation statements)

References 6 publications

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“…Vasitis nodosa is eharactcrized by a localized proliferation of ducttilar structures following injury to the vas deferens and may he considered an irregular regeneration of its epithelial lining. First described by Benjamin et al (7), vasitis nodosa has been diagnosed with increasing frequency in the last 15 years, mostly in vasovasostomy speeimens . Spertnatic granulomas are also encountered after vasectomy and arc often associated with vasitis nodosa.…”

Section: Discussionmentioning

confidence: 99%

Vasitis nodosa and spermatic granuloma of the skin: an histologic study of a rare complication of vasectomy

Balogh

Argényi

1985

J Cutan Pathol

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A 29-year-old man noticed localized painful swelling of the scrotal skin after elective vasectomy. The lesion was excised and its histologic examination revealed a diffuse inflammatory, partly granulomatous infiltrate with numerous tubular structures in the dermis and subcutaneous tissues. These ductules were lined by cuboidal epithelial cells and contained spermatozoa. The inflammatory infiltrate consisted of lymphocytes, plasma cells and histiocytes, but also contained spermatozoa and a few spermatic granulomas. These changes were the sequelae of a vasocutaneous adhesion and fistula; the ductules were the result of epithelial regeneration from the vas deferens and the inflammation with spermatic granulomas was due to extravasated spermatozoa.

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Section: Discussionmentioning

confidence: 99%

Vasitis nodosa and spermatic granuloma of the skin: an histologic study of a rare complication of vasectomy

Balogh

Argényi

1985

J Cutan Pathol

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“…Vasitis nodosa is the commonest retrieved from that is reported in the literature. It is a benign condition that was first reported by Benjamin in 1943, who described it as a non-tuberculosis cause of vasal beading 3 . It is usually associated with a history of vasectomy and patients present with a nodular mass in the vas deferens which may not be symptomatic and they require no specific treatment 1,3,4 .…”

Section: Background: Case Presentation: Issn 2572-102xmentioning

confidence: 99%

“…Acute vasitis results from an acute infection considered to be due to the retrograde spread of urinary pathogens, as is seen in epididymitis. The pathogens commonly associated are Escherichia coli and Haemophilus influenza, however, other rare pathogens such as Brucella and Tuberculosis have also been described 1,3,7,8 . Patients with acute vasitis usually present with a mass in the groin or scrotal spermatic cord1, 2,7,8,9 .…”

Section: Referencementioning

confidence: 99%

Acute Vasitis Presenting as an Inguinoscrotal Swelling: A Diagnostic Dilemma

A¹

2017

IJCC

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Abstract:Vasitis or inflammation of the vas deferens and spermatic cord has been identified as a cause of scrotal swelling and needs to be differentiated from other causes of groin swelling like epididymitis, orchitis, testicular torsion, saphenous varix, femoral and inguinal hernia. This is essential in order to prevent needless surgery in such patients. Duplex Doppler Ultrasound scanning in expert hand alone is adequate in differentiating acute vasitis from other causes of groin swelling. Computed tomography scan is also often needed to confirm the ultrasound findings. This case is therefore presented to emphasize the difficulty in diagnosing acute vasitis and differentiate it from inguinal hernia, which is the more common clinical diagnosis given in cases of groin swelling Background:Case Presentation:

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“…Vasitis, defined as diffuse induration and inflammation of the vas deferens, may be observed in vasitis nodosa, bacterial infection of the vas deferens, suppuration of (or near) the vas deferens, and after surgical manipulation [Chan and Schlegel 2002]. Vasitis nodosa, or pathologically defined inflammation, is a rare condition first described by Benjamin et al in 1943. It may be asymptomatic or present with pain, tenderness, and a palpable lesion in the scrotum [Civantos et al 1972;Easley and MacLennan 2006;Hirschowitz et al 1988;Kiser et al 1986].…”

Section: Introductionmentioning

confidence: 99%

“…It appears that clinically symptomatic vasitis that occurs in the absence of vasectomy, prostatectomy, or infection is rare, with only two cases described in the literature [Benjamin et al 1943]. Because of its low prevalence, risk factors and associated diagnoses have not been attributed to this condition.…”

Section: Introductionmentioning

confidence: 99%

Clinically Symptomatic Vasitis: Clinical Correlations in a Rare Condition

Clavijo

Rose‐Nussbaumer

Turek

2010

Systems Biology in Reproductive Medicine

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Vasitis, or inflammation of the vas deferens, is a rare condition. When diagnosed pathologically, it has been linked to vasectomy, prostatectomy, and herniorrhaphy. When diagnosed clinically, relationships with potential causative factors are unclear. We investigated the clinical factors associated with clinically symptomatic vasitis in a retrospective series of patients. From the history, physical examination, and clinical course, we analyzed associated risk factors. Clinical care patterns were also examined to assess the effectiveness of different treatments. Among 11 patients, the mean patient age at presentation was 47 years (range 29-60 years). The mean diameter of the affected vas deferens was 0.97 cm. Associated procedures included ipsilateral herniorrhaphy (4 patients), radical prostatectomy (2 patients), perianal fistulectomy (1 patient), and bilateral testicular biopsy (1 patient). Furthermore, epididymitis was reported in one patient after testicular trauma, and another patient had congenital unilateral absence of the vas deferens. No patient had a history of vasectomy. Three patients were HIV positive and 6 were active smokers. Six of the 11 patients improved with medical management that included nonsteroidal and steroidal anti-inflammatories and antibiotics. One patient was lost to follow-up. Similar to studies of pathologically detected vasitis, this unique study of clinical vasitis suggests that prior herniorrhaphy, prostatectomy, and possibly HIV infection may be risk factors for its development. In addition, the use of anti-inflammatories and antibiotics warrants further investigation as potentially effective treatments.

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Vasitis Nodosa: A New Clinical Entity Simulating Tuberculosis of the Vas Deferens

Cited by 21 publications

References 6 publications

Vasitis nodosa and spermatic granuloma of the skin: an histologic study of a rare complication of vasectomy

Vasitis nodosa and spermatic granuloma of the skin: an histologic study of a rare complication of vasectomy

Acute Vasitis Presenting as an Inguinoscrotal Swelling: A Diagnostic Dilemma

Clinically Symptomatic Vasitis: Clinical Correlations in a Rare Condition

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