PMC5129151_01
CT scan images. A tubular structure in the right inguinal canal can be seen.
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The scan report described an inflamed appendix with its tip inside a right inguinal hernia (Fig. 1).
Intraoperative image of the inflamed right vas deferens, which was mistaken for the appendix (circled in red) in the CT scan.
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In contrast, crossing over the right iliac vessels, a tubular, swollen structure was found which entered the deep inguinal ring (Fig. 2), corresponding with an acutely inflamed vas deferens.
Intraoperative image of the left vas deferens, which was normal.
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On the left side, a normal vas deferens was found (Fig. 3).