title: Duplicate Vas Deferens Encountered during Inguinal Hernia Repair: A Case Report and Literature Review.
abstract: Duplication of the vas deferens is a rare anomaly, defined as the presence of two distinct vasa deferentia within one spermatic cord, with only 28 cases reported worldwide since 1959. We report the case of a 63-year-old man with a duplicate vas deferens, presenting with abdominal pain from bowel obstruction secondary to incarcerated inguinal hernia. Spermatic cord dissection during hernioplasty revealed duplication of the vas deferens within the right spermatic cord. Doppler ultrasonography confirmed absence of waveforms in both vasa deferentia with arterial signal in the accompanying vessel. The hernia was repaired without complication. This report emphasizes recognition of duplicate vas deferens in avoiding iatrogenic injury and optimizing surgical outcome.
authors.affiliation: College of Osteopathic Medicine, Nova Southeastern University, 3301 College Ave, Fort Lauderdale, FL 33314, USA.
authors.forename: Maxwell C
authors.identifier: 0000-0003-0096-5999
authors.initials: MC
authors.lastname: Breitinger
authors.affiliation: College of Healthcare Sciences, Nova Southeastern University, 3301 College Ave, Fort Lauderdale, FL 33314, USA.
authors.forename: Evan H
authors.initials: EH
authors.lastname: Roszkowski
authors.affiliation: Department of General Surgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd, Weston, FL 33331, USA.
authors.forename: Adam J
authors.initials: AJ
authors.lastname: Bauermeister
authors.affiliation: Memorial Regional Hospital, Division of Acute Care Surgery and Trauma, 3501 Johnson Street, Hollywood, FL 33021, USA.
authors.forename: Andrew A
authors.identifier: 0000-0001-6069-6458
authors.initials: AA
authors.lastname: Rosenthal