title: Vasitis: the need for imaging and clinical acumen.
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.
authors.affiliation: Department of Urology, Barts Health NHS Trust, London, UK.
authors.forename: Kunal
authors.initials: K
authors.lastname: Patel
authors.affiliation: Department of Urology, Barts Health NHS Trust, London, UK.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Lamb
authors.affiliation: Department of Radiology, Barts Health NHS Trust, London, UK.
authors.forename: Sandeep
authors.initials: S
authors.lastname: Pathak
authors.affiliation: Department of Urology, Barts Health NHS Trust, London, UK.
authors.forename: John
authors.initials: J
authors.lastname: Peters
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002939:Ciprofloxacin / Q000627:therapeutic use; D002981:Clindamycin / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D005832:Genital Diseases, Male / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D005839:Gentamicins / Q000627:therapeutic use; D006801:Humans; D007249:Inflammation / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged; D012611:Scrotum / Q000000981:diagnostic imaging; D013085:Spermatic Cord / Q000000981:diagnostic imaging / Q000473:pathology; D018746:Systemic Inflammatory Response Syndrome / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D014463:Ultrasonography; D014649:Vas Deferens / Q000000981:diagnostic imaging* / Q000473:pathology*
chemical_list: D000900:Anti-Bacterial Agents; D005839:Gentamicins; D002981:Clindamycin; D002939:Ciprofloxacin