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Vasitis mimicking an Amyand's hernia: A case report.
Juan Manuel Romero Marcos1, Santiago Baena Bradaschia1, José María Muñoz Pérez1
1Department of Surgery, Hospital Son Llàtzer, Palma de Mallorca 07198, Spain.
International Journal of Surgery Case Reports
|November 30, 2016
Summary
A rare case highlights that vasitis, an inflammation of the vas deferens, can mimic Amyand's hernia on imaging. Prompt diagnosis of untreated gonorrhea is crucial to prevent unnecessary surgery for suspected inguinal hernias.
Area of Science:
- Surgical Case Reports
- Gastroenterology
- Urology
Background:
- Amyand's hernia involves the caecal appendix within an inguinal hernia, often found during surgery.
- Preoperative diagnosis is possible with imaging showing a tubular structure in the inguinal canal.
Purpose of the Study:
- To report a unique case where vasitis mimicked Amyand's hernia.
- To emphasize the importance of considering vasitis in differential diagnoses of inguinal pathologies.
Main Methods:
- A patient presented with right lower quadrant pain and a groin mass.
- CT scan revealed a tubular structure in the inguinal canal, suggestive of appendicitis.
- Single-port laparoscopic exploration was performed.
Main Results:
- The exploration revealed right vasitis, not Amyand's hernia.
- The vasitis was attributed to untreated gonorrhea.
Conclusions:
- Untreated gonorrhea can lead to ascending vasitis, mimicking appendicitis in the inguinal canal, especially in patients without testicles.
- Preoperative suspicion of Amyand's hernia should prompt ruling out vasitis to avoid unnecessary surgical interventions.
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