Congenital bilateral absence of the vas deferens.
A 10-year-old boy with cystic fibrosis (CF) (DeltaF508/G551D mutation) underwent an uneventful elective interval laparoscopic appendectomy. During routine laparoscopic inspection of the abdomen and groins, congenital bilateral absence of the vas deferens was noted. Pictures of the patient's internal inguinal ring noted at time of laparoscopy are presented and compared with a similar-aged patient's internal ring with a normal vas deferens. The genetics of CF patients associated with congenital bilateral absence of the vas deferens is reviewed. The pediatric or general surgeon performing a herniorrhaphy should be aware of this anomaly in CF patients.
Escobar
Mauricio A
MA
Department of Surgery, Division of Pediatric Surgery, Women and Children's Hospital of Buffalo, State University of New York at Buffalo, Buffalo, NY 14222, USA.
Lau
Stanley T
ST
Glick
Philip L
PL
D001062:Appendectomy / Q000379:methods; D001064:Appendicitis / Q000175:diagnosis / Q000601:surgery*; D002648:Child; D003550:Cystic Fibrosis / Q000175:diagnosis* / Q000235:genetics; D017558:Elective Surgical Procedures; D005500:Follow-Up Studies; D006801:Humans; D033162:Incidental Findings; D010535:Laparoscopy / Q000379:methods; D008297:Male; D018570:Risk Assessment; D016896:Treatment Outcome; D014564:Urogenital Abnormalities / Q000175:diagnosis*; D014649:Vas Deferens / Q000002:abnormalities* / Q000473:pathology