Background Vasitis is a rare condition and has not been reported in the literature in association with pelvic lipomatosis. Case presentation 25-year-old young male presented with bilateral scrotal pain. He was found to have bilateral thickened and tender vas. On further evaluation, he was diagnosed with pelvic lipomatosis and dilated vas up to ejaculatory duct. He was treated with anti-inflammatory medication and is on close follow-up to look for further symptoms related to other luminal compressive pathologies that are known to occur with pelvic lipomatosis. Conclusion In patients with pelvic lipomatosis, careful examination of genitalia is necessary to look for other compressive findings including vasal obstruction and vasitis.

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