Abstract:Vasitis or inflammation of the vas deferens and spermatic cord has been identified as a cause of scrotal swelling and needs to be differentiated from other causes of groin swelling like epididymitis, orchitis, testicular torsion, saphenous varix, femoral and inguinal hernia. This is essential in order to prevent needless surgery in such patients. Duplex Doppler Ultrasound scanning in expert hand alone is adequate in differentiating acute vasitis from other causes of groin swelling. Computed tomography scan is also often needed to confirm the ultrasound findings. This case is therefore presented to emphasize the difficulty in diagnosing acute vasitis and differentiate it from inguinal hernia, which is the more common clinical diagnosis given in cases of groin swelling Background:Case Presentation:

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