Vasitis Nodosa: A Rare Diagnosis for Inguinal Swelling

Abstract

Vasitis nodosa involves benign, reactive spindle-shaped nodular thickening of the ductal epithelium of vas deferens. We report the case of a 21-year-old male with a history of bilateral undescended testes and left orchidopexy. The patient presented with the complaint of a non-tender left inguinal swelling. The definitive diagnosis of vasitis nodosa was made based on clinical evaluation and imaging findings. We suggest that this rare entity should be considered as a differential diagnosis of inguinal swelling during the assessment of the male urogenital system.

Misdiagnosis of vasitis: a potential diagnostic pitfall with computed tomography

“…The chronic condition, also known as vasitis nodosa, was first described in 1943 by Benjamin [ 1 ]. The histopathological examination may reveal a narrow vasal wall, thickened muscular coat, and evidence of inflammation over the surrounding tissue, such as fibrosis and lymphocyte infiltration [ 2 ]. Vasitis is a benign disease that can be either asymptomatic or present as a protruding mass with focal tenderness over the inguinal area.…”

“…Vasitis is an infection or inflammatory condition of the vas deferens [ 1 ]. Vasitis nodosa refers to a chronic type of infection of the vas deferens with mild to asymptomatic disease [ 2 ]. Acute vasitis is a benign disease, and most patients only require antibiotic treatment.…”

18F-FDG PET–Positive Large Pelvic Granuloma Mimicking Malignant Bladder Tumor

“…[2][3][4][5][6][7][8] Chronic vasitis may cause luminal occlusion, increased intraluminal pressures, and leakage of spermatozoa. 6 All these may result in sperm granuloma formation and fibrosis. 6 Most cases of CV have a previous history of vasectomy or surgeries in close proximity of the VD, such as herniorrhaphy, perianal fistulectomy, or, as in the present case, prostatectomy.…”

Acute Vasitis clinical picture mimicking inguinal hernia: Case report and review

“…Vasitis is a rare entity characterized into acute painful infectious Vasitis and a symptomatic Vasitis nodosa by Chen and Schlegel. 1 …”

“…Acute vasitis is a rare condition, but one that can be a diagnostic dilemma, and if not recognized and managed appropriately, may lead to unnecessary surgical interventions with consequent morbidity for the patient. 2 We reviewed the cases in Literature and we identified 91 well-documented cases before our case have been reported so far since the first case in 1943 1 …”