Pathogens causing infectious vasitis include common urinary tract pathogens such as Escherichia coli, mycobacteria causing tuberculosis, and other rare urogenital pathogens such as Haemophilus influenza.
Vasitis is rarely reported as an isolated condition.
The case has been reported for its rarity and atypical presentation where the suppurative tuberculous vasitis presenting as a groin mass.
The more commonly described inflammation of the vas deferens, vasitis nodosa, is a benign condition that has been well-characterized (both macroscopically and microscopically) and is usually associated with a history of vasectomy.
In the few cases of infectious vasitis described, imaging was not used and the patients were treated surgically for suspected inguinal hernias with eventual cord excision and/or drainage when no hernia was found.
The CT scan was negative for an inguinal hernia and instead revealed an inflamed spermatic cord consistent with vasitis.
The CT scan was negative for inguinal hernia and instead revealed a thickened, edematous spermatic cord consistent with vasitis.
We are only aware of 4 cases of infectious vasitis described in English language medical journals since 1933 and none in the past 20 years when modern medical imaging has been readily available.
9] The clinical and ultrasound findings of incarcerated inguinal hernias and vasitis can be very difficult to distinguish: both present clinically with groin masses and pain.
3) When a thermal ("red hot wire") cautery is used, (4) a solid plug of scar tissue results with a minimum of spermatic granuloma formation and of vasitis nodosa.
Vasitis nodosa, in which a Medusa's head of channels reaches our from the testicular end of the vas, could explain this "technical failure" if one such channel reached the urethral end.