Related Experiment Video
Updated: Sep 8, 2025
06:44
Demonstration of Cutaneous Allodynia in Association with Chronic Pelvic Pain
Published on: June 23, 2009
19.8K
[A painful swelling in the groin]
Siem A Willems1,2, K T Buddingh1, Marcus A M Brouwers1
1HagaZiekenhuis, afdeling Heelkunde, Den Haag.
Nederlands Tijdschrift Voor Geneeskunde
|August 20, 2025
Summary
A painful groin swelling was initially suspected to be an incarcerated inguinal hernia. Surgical exploration revealed vasitis (inflammation of the vas deferens) as the actual cause, prompting antibiotic treatment.
Area of Science:
- Urology
- Surgical Pathology
Background:
- Inguinal hernias and scrotal pain are common presentations in surgical practice.
- Vasitis, inflammation of the vas deferens, can present with symptoms mimicking other conditions.
Purpose of the Study:
- To report a case of vasitis initially misdiagnosed as an incarcerated inguinal hernia.
- To highlight the importance of considering differential diagnoses in groin and scrotal pain.
Main Methods:
- Clinical presentation of a 38-year-old male with left groin and scrotal pain.
- Surgical exploration to investigate suspected incarcerated inguinal hernia.
- Urine culture and STI testing, followed by empirical antibiotic therapy.
Main Results:
- Surgical findings revealed vasitis, not an incarcerated inguinal hernia.
- The patient received a 14-day course of ciprofloxacin.
Conclusions:
- Vasitis should be considered in the differential diagnosis of acute painful groin and scrotal swelling.
- Prompt diagnosis and appropriate antibiotic treatment are crucial for managing vasitis.
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