Osama Muhammad, Khan Anosh Aslam, Mohiuddin Osama, Saad Choudhry Muhammad, Naseer Shafaq, Zaheer Farhan
Department of General Surgery, Dow University of Health Sciences, Karachi, Pakistan.
Department of Internal Medicine, Dow University of Health Sciences, Karachi, Pakistan.
Ochsner J. 2021 Spring;21(1):108-110. doi: 10.31486/toj.19.0114.
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. 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. Our case highlights the importance of radiologists' and surgeons' ability to recognize a duplicated vas deferens to avoid possible iatrogenic injury.
输精管重复是一种罕见的盆腔解剖先天性异常，常在涉及精索的手术中偶然发现，如腹股沟疝修补术、精索静脉曲张切除术、睾丸固定术和输精管切除术。一名25岁男性因腹股沟区双侧肿胀就诊于我们的外科门诊。诊断为双侧腹股沟疝。在疝修补术中进行精索解剖时，发现左侧精索内有一条重复的输精管。多普勒超声检查证实两条输精管均无血流信号，可将它们与相邻血管区分开来。疝修补术顺利完成，无并发症。我们的病例强调了放射科医生和外科医生识别重复输精管以避免可能的医源性损伤的能力的重要性。
