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      Duplicate Vas Deferens Encountered during Inguinal Hernia Repair: A Case Report and Literature Review

      case-report

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          Abstract

          Duplication of the vas deferens is a rare anomaly, defined as the presence of two distinct vasa deferentia within one spermatic cord, with only 28 cases reported worldwide since 1959. We report the case of a 63-year-old man with a duplicate vas deferens, presenting with abdominal pain from bowel obstruction secondary to incarcerated inguinal hernia. Spermatic cord dissection during hernioplasty revealed duplication of the vas deferens within the right spermatic cord. Doppler ultrasonography confirmed absence of waveforms in both vasa deferentia with arterial signal in the accompanying vessel. The hernia was repaired without complication. This report emphasizes recognition of duplicate vas deferens in avoiding iatrogenic injury and optimizing surgical outcome.

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          • Record: found
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          Congenital anomalies of the vas deferens, epididymis, and seminal vesicles.

          Ravneet S. Vohra, A Morgentaler (1997)
          Article 0 comments Cited 12 times – based on 0 reviews     Review now
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            Anomalies of the wolffian duct derivatives encountered at radical prostatectomy.

            Amir Said Alizadeh Naderi, Shahrokh F. Shariat, K Slawin … (2004)
            Abnormalities of wolffian duct derivatives are usually encountered in young subjects. We identified 4 instances of embryologic malformations of these structures in patients who underwent radical prostatectomy (RP). The first patient had unilateral renal agenesis and a seminal vesicle cyst identified preoperatively by computed tomography. The seminal vesicle cyst was removed during RP. The second patient had renal agenesis and an ectopic ureter entering the right seminal vesicle. These were treated with ureterectomy during RP. The third patient had unilateral duplication of the vas deferens of no clinical consequence. Finally, the fourth patient had left-sided absence of both the vas deferens and seminal vesicle. The anatomy of the lower pelvis is most accurately shown on magnetic resonance imaging. Lower urinary tract malformations are an uncommon occurrence in males. Surgeons who perform numerous RPs will, however, find additional urologic pathologies during RP that may require consideration and tailored management.
            Article 0 comments Cited 10 times – based on 0 reviews     Review now
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              Crossed testicular ectopia with fused bilateral duplication of the vasa deferential: an unusual finding in cryptochidism.

              S Barrack (1994)
              A case of a one year and ten month old boy with crossed testicular ectopia, fused vasa deferentia, and common processus vaginalis containing both testes is reported. This is the first case of transverse testicular ectopia we have come across since 1978. Diagnosis was made on the operation table as the child came for repair of right inguinal hernia. Right testis was palpable in the groin; the left testis was not palpable anywhere along the pathway of descent. Because of ductal fusion, both testes were brought down on the right side to avoid damage during separation and placed in either hemiscrotum through transceptal window.
              Article 0 comments Cited 7 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Case Rep Surg
                Journal ID (iso-abbrev): Case Rep Surg
                Journal ID (publisher-id): CRIS
                Title: Case Reports in Surgery
                Publisher: Hindawi Publishing Corporation
                ISSN (Print): 2090-6900
                ISSN (Electronic): 2090-6919
                Publication date (Print): 2016
                Publication date (Electronic): 20 October 2016
                Volume: 2016
                Electronic Location Identifier: 8324925
                Affiliations
                1College of Osteopathic Medicine, Nova Southeastern University, 3301 College Ave, Fort Lauderdale, FL 33314, USA
                2College of Healthcare Sciences, Nova Southeastern University, 3301 College Ave, Fort Lauderdale, FL 33314, USA
                3Department of General Surgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd, Weston, FL 33331, USA
                4Memorial Regional Hospital, Division of Acute Care Surgery and Trauma, 3501 Johnson Street, Hollywood, FL 33021, USA
                Author notes
                *Andrew A. Rosenthal: anrosenthal@ 123456mhs.net

                Academic Editor: Marcus L. Quek

                Author information
                http://orcid.org/0000-0003-0096-5999
                http://orcid.org/0000-0001-6069-6458
                Article
                DOI: 10.1155/2016/8324925
                PMC ID: 5093270
                SO-VID: f26f9e8d-dae9-49c4-9e0c-8c0a2c7157c2
                Copyright © Copyright © 2016 Maxwell C. Breitinger et al.
                License:

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 26 July 2016
                Date accepted : 28 September 2016
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Surgery
                Data availability:
                ScienceOpen disciplines: Surgery

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