Pediatric vasitis: A rare complication of epididymitis

Abstract

Vasitis represents an inflammation of the vas deferens. This is a rare entity seen mostly in adult males following local surgery (e.g., vasectomy, hernia repair). Children with groin masses have a wide differential diagnosis. We describe a child with a groin mass following epididymitis diagnosed with vasitis and review the known literature regarding diagnostic tools and treatment. Vasitis in children, although rare, can be seen as a complication of epididymitis.

Fig. 1.

Colour Doppler ultrasound scan of left testis revealing an enlarged, heterogeneous and hyperemic epididymis (arrow).

Fig. 2.

Axial computed tomography image showing heterogeneous enhancing mass in the left inguinal region (arrow) with stranding of the surrounding fat as compared to the normal right spermatic cord.

Fig. 3.

Coronal reformat showing thickening and enhancement of the left spermatic cord (blue arrow). Heterogeneous inflammatory mass seen in the proximal cord (red arrow). No evidence of herniation from the peritoneal cavity.