Open Access

RESIDENT’S CORNER

A case of acute vasitis mimicking an incarcerated inguinal hernia with subtle imaging findings

Christopher Dall^1,2, Kenneth Lim^1,2, George Khludenev³, Krishnan Venkatesan^1,2

1 Department of Urology, MedStar Georgetown University Hospital, Washington, District of Columbia, USA
2 Department of Urology, MedStar Washington Hospital Center, Washington, District of Columbia, USA
3 George Washington University School of Medicine, Washington, District of Columbia, USA
Address correspondence to Dr. Christopher Dall, Medstar Washington Hospital Center, 106 Irving St. NW, POB South, Room 315, Washington, DC 20010 USA

Canadian Journal of Urology 2020, 27(6), 10496-10499.

Abstract

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.

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