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Vas Deferens Calcification in a Diabetic CKD: An Incidental Finding
A H Ahmed1, M A Khaleque, A S Arnob
1Dr AH Hamid Ahmed, Associate Professor, Department of Nephrology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh;
Insights
Bilateral vas deferens calcification is a rare, non-inflammatory condition. This case highlights its incidental diagnosis in a diabetic patient with chronic kidney disease (CKD) using plain X-ray KUB.
Area of Science:
- Urology
- Radiology
- Nephrology
Background:
- Vas deferens calcification is an uncommon condition with inflammatory and non-inflammatory causes.
- Calcification of the vas deferens is rarely reported, particularly in patients with chronic kidney disease (CKD) and diabetes mellitus (DM).
Purpose of the Study:
- To report a rare case of non-inflammatory bilateral vas deferens calcification.
- To highlight the association with diabetes mellitus and chronic kidney disease.
- To emphasize the utility of plain X-ray KUB for diagnosing this condition.
Main Methods:
- Case presentation of a 50-year-old male patient.
- Diagnosis confirmed incidentally via X-ray KUB (Kidney, Ureter, Bladder).
- Review of potential causes of vas deferens calcification.
Main Results:
- Incidental diagnosis of bilateral vas deferens calcification in a patient with DM, HTN, CKD, and UTI.
- The calcification was identified as non-inflammatory.
Conclusions:
- Vas deferens calcification can occur as a non-inflammatory condition in patients with metabolic diseases like DM and CKD.
- Simple and inexpensive imaging like plain X-ray KUB can aid in diagnosis.
- Increased awareness may reduce underdiagnosis of this rare condition.
Abstract:
Vas deferens calcification is a very rare condition. The causes can be categorized as inflammatory and non-inflammatory type. We are presenting such a non inflammatory type of bilateral vas calcification in a diabetic chronic kidney diseases (CKD) patient. Presented patient a 50 years old man admitted in Samorita Hospital Ltd., Dhaka, Bangladesh on 03 August 2014 in cabin - 537 with registration number 1904/14. He was labeled as Diabetes mellitus (DM), Hypertension (HTN), CKD & Urinary tract infection (UTI). Vas deferens calcification was diagnosed incidentally by X-ray KUB. Subsequently we have discussed all possible causes in this report. The purpose of presenting this rare imaging finding is to emphasize the under diagnosis of the disease and causes. It can also be diagnosed by simple, easily available and cheap investigations like Plain X ray KUB.
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