Shrestha Bibek, Yadav Krishna, Kandel Grishma, Yadav Pratibha, Subedi Sachet
Maharajgunj Medical Campus, Tribhuvan University, Institute of Medicine, Kathmandu 44600, Nepal.
Department of General Surgery, Tribhuvan University Teaching Hospital, Kathmandu 44600, Nepal.
J Surg Case Rep. 2024 Dec 20;2024(12):rjae782. doi: 10.1093/jscr/rjae782. eCollection 2024 Dec.
Duplication of the vas deferens is a rare congenital anomaly, with an incidence of ~0.05% in the general population. It is typically discovered incidentally during surgeries involving the spermatic cord, such as inguinal hernia repair. This case report presents a 33-year-old male who underwent left inguinal hernioplasty, during which duplication of the vas deferens was incidentally identified. The patient had presented with left-sided inguinal swelling, painful testis, and a small left testis. Preoperative ultrasound suggested an inguinal hernia, but the vas deferens anomaly was only detected intraoperatively. The patient successfully underwent hernioplasty without postoperative complications. This case emphasizes the importance of recognizing rare anatomical variations like vas deferens duplication to prevent surgical complications.
输精管重复是一种罕见的先天性异常，在普通人群中的发生率约为0.05%。它通常在涉及精索的手术（如腹股沟疝修补术）中偶然被发现。本病例报告介绍了一名33岁男性，他接受了左侧腹股沟疝修补术，术中偶然发现输精管重复。患者表现为左侧腹股沟肿胀、睾丸疼痛和左侧睾丸较小。术前超声提示腹股沟疝，但输精管异常仅在术中被发现。患者成功接受了疝修补术，术后无并发症。本病例强调了认识像输精管重复这样罕见的解剖变异以预防手术并发症的重要性。
