# A Rare Case of Acute Vasitis

## TL;DR

This case report describes a rare instance of acute vasitis, a condition that can cause groin pain and is often misdiagnosed.

## Contribution

The novelty lies in presenting a rare clinical case of acute vasitis and emphasizing the importance of imaging for accurate diagnosis.

## Key findings

- Acute vasitis can present with symptoms similar to an incarcerated hernia.
- CT scans are crucial for diagnosing acute vasitis and avoiding unnecessary surgery.

## Abstract

Inflammation of the vas deferens, or vasitis, is a rarely reported condition that can manifest as either acutely painful infectious vasitis or predominantly asymptomatic vasitis nodosa. Acute vasitis is usually presented with ambiguous clinical findings, and a scan is required for a definitive diagnosis. Retrograde urinary pathogens are typically the cause, and it is treatable conservatively. We present a male in his 40s with a one-day history of right groin pain and a history of right indirect inguinal hernia. On examination, there was an impression of an incarcerated inguinal hernia. A CT scan revealed thickening and inflammatory changes associated with the inguinal canal and a picture of the rare inflammatory condition, acute vasitis. This case report illustrates the significance of understanding the wide range of possible diagnoses associated with acute groin pain and swelling and the importance of imaging in the diagnosis, which might help avoid needless operation.