Vasitis mimicking an inguinal hernia: A diagnostic dilemma

Vasitis is a rare disorder characterised by inflammation of the vas deferens. It presents with scrotal or inguinal pain/swelling, mimicking the more commonly occurring conditions such as epididymitis, orchitis, testicular torsion or an incarcerated inguinal hernia. While ultrasound may exclude some of these differential diagnoses, computed tomography (CT) or Magnetic resonance imaging (MRI) is needed to distinguish vasitis from an incarcerated inguinal hernia. Vasitis is classically treated with antibiotics so proper diagnosis is essential to avoid unnecessary surgery. We present the case of a 20-year-old male with CT diagnosed vasitis, whose condition resolved within six weeks without administering antibiotics.