Abstract
A 55-year-old man presented with an acute, painful groin mass with signs of sepsis. On examination, it was difficult to tell whether this was a strangulated hernia or a testicular torsion. Biochemical investigations revealed raised inflammatory markers and radiological investigations showed a rare inflammatory condition, vasitis, which could be mistaken for various other 'surgical' groin masses. This case report summarises the importance of realising the vast differential diagnoses that come with acute groin masses and how imaging can prevent unnecessary surgery.
2014 BMJ Publishing Group Ltd.
MeSH terms
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Anti-Bacterial Agents / therapeutic use
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Ciprofloxacin / therapeutic use
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Clindamycin / therapeutic use
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Diagnosis, Differential
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Follow-Up Studies
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Genital Diseases, Male / complications
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Genital Diseases, Male / diagnosis*
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Genital Diseases, Male / drug therapy
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Gentamicins / therapeutic use
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Humans
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Inflammation / complications
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Inflammation / diagnosis*
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Inflammation / drug therapy
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Magnetic Resonance Imaging / methods
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Male
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Middle Aged
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Scrotum / diagnostic imaging
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Spermatic Cord / diagnostic imaging
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Spermatic Cord / pathology
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Systemic Inflammatory Response Syndrome / complications
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Systemic Inflammatory Response Syndrome / diagnosis*
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Systemic Inflammatory Response Syndrome / drug therapy
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Ultrasonography
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Vas Deferens / diagnostic imaging*
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Vas Deferens / pathology*
Substances
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Anti-Bacterial Agents
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Gentamicins
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Clindamycin
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Ciprofloxacin