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Abstract
Background: Duplication of the vas deferens, a rare congenital anomaly of the pelvic anatomy, is often an incidental finding during surgeries involving the spermatic cord, such as inguinal hernia repair, varicocelectomy, orchidopexy, and vasectomy.Case Report: A 25-year-old male presented to our surgical outpatient clinic with bilateral swelling in the inguinal region. A diagnosis of bilateral inguinal hernia was established. While performing spermatic cord dissection during hernioplasty, a duplicated vas deferens was revealed within the left spermatic cord. Doppler ultrasonography confirmed the absence of waveforms in both vasa deferentia, differentiating them from adjacent vessels. The hernia repair was performed without complications.Conclusion: Our case highlights the importance of radiologists’ and surgeons’ ability to recognize a duplicated vas deferens to avoid possible iatrogenic injury.
Highlights
Duplication of the vas deferens is a rare congenital anomaly of the male reproductive system, with an estimated incidence of approximately 0.05%.1 Vas deferens duplication is often an incidental finding during surgeries involving the spermatic cord, such as inguinal hernia repair, varicocelectomy, orchidopexy, and vasectomy.[2]Embryologically, the proximal vas precursor is a segment along the mesonephric duct, located at an intermediate position between the upper and common mesonephric ducts
The proximal vas precursor is a segment along the mesonephric duct, located at an intermediate position between the upper and common mesonephric ducts
The proximal vas precursor differentiates into the vas deferens and seminal vesicles, while the common mesonephric duct interacts with the metanephric blastema and develops into the kidney and its collecting system
Summary
Duplication of the vas deferens, a rare congenital anomaly of the pelvic anatomy, is often an incidental finding during surgeries involving the spermatic cord, such as inguinal hernia repair, varicocelectomy, orchidopexy, and vasectomy. Case Report: A 25-year-old male presented to our surgical outpatient clinic with bilateral swelling in the inguinal region. A diagnosis of bilateral inguinal hernia was established. While performing spermatic cord dissection during hernioplasty, a duplicated vas deferens was revealed within the left spermatic cord. Doppler ultrasonography confirmed the absence of waveforms in both vasa deferentia, differentiating them from adjacent vessels. The hernia repair was performed without complications. Conclusion: Our case highlights the importance of radiologists’ and surgeons’ ability to recognize a duplicated vas deferens to avoid possible iatrogenic injury
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