- MedPix™ TF Case: 6715 ::
Topic - Dx: Calcification of the vas deferens :: Search Icon

History

Age: 58 :: Gender: man

Patient History

A 58 year old Caucasian male presenting with a one day history of mild abdominal pain and vomiting. Review of systems is unremarkable.

Exam


Physical Exam and Laboratory

Minimal epigastic tenderness to palpation. No rebound tenderness or guarding. Basic laboratory values, including blood glucose level and WBC count, are within normal limits. The patient reported a history of a recent negative PPD.

Caption


:: :: ACR Code: .

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Findings


Summary of Findings

An acute abdominal series is negative for evidence of bowel obstruction. Incidentally noted on the supine abdominal radiograph is a serpiginous, calcified structure overlying the pelvis and showing the expected morphology of the vas deferens.

Diffferential


Differential Diagnosis

Please see the accompanying factoid.

Diagnosis


Case Diagnosis

Dx: Calcification of the vas deferens


Dx Confirmed by: Age-related calcification of the vas deferens was a diagnosis of exclusion, in the absence of a history of or clinical or laboratory evidence of diabetes or an infectious etiology.

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Followup


Followup and Treatment

» The patient's abdominal pain was attributed to a gastroenteritis and resolved within 24 hours of presentation.

» Calcification of the vas deferens, in this case related to degenerative change of aging.

Discussion


Discussion for this Patient

Please refer to the accompanying factoid.

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TF Case Contributor Credits
Submitted by: Richard P. Moser, III - Author Info
Case/Image Editor: Maria Elena Pace, M.D. - Editor Info
Case Accepted: :: Revised: :: Submitted:

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