Congenital Unilateral Absence of the Vas Deferens with Ipsilateral Renal Agenesis encountered during Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair in an Adult Patient: A Case Report
Abstract : We report the first incidental finding of congenital unilateral absence of the vas deferens and ipsilateral renal agenesis during endoscopic totally extraperitoneal inguinal hernia repair. The absence of the vasa deferentia occurs unilateral, associated with renal anomalies, or bilateral which has a genetic link to cystic fibrosis.
Key clinical message : Patients with unilateral absence of the vas deferens should be assessed for bilateral absence of the vasa deferentia by palpation in adults or laparoscopic exploration in pediatric patients. Ultrasonography should be performed to assess renal anomalies and genetic counselling is advised.
Keywords: Absence of vas deferens with renal agenesis; endoscopic hernia repair
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