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Case Reports in Surgery
Volume 2016, Article ID 8324925, 4 pages
http://dx.doi.org/10.1155/2016/8324925
Case Report

Duplicate Vas Deferens Encountered during Inguinal Hernia Repair: A Case Report and Literature Review

1College of Osteopathic Medicine, Nova Southeastern University, 3301 College Ave, Fort Lauderdale, FL 33314, USA
2College of Healthcare Sciences, Nova Southeastern University, 3301 College Ave, Fort Lauderdale, FL 33314, USA
3Department of General Surgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd, Weston, FL 33331, USA
4Memorial Regional Hospital, Division of Acute Care Surgery and Trauma, 3501 Johnson Street, Hollywood, FL 33021, USA

Received 26 July 2016; Accepted 28 September 2016

Academic Editor: Marcus L. Quek

Copyright © 2016 Maxwell C. Breitinger et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.