{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T16:52:49Z","timestamp":1791305569832,"version":"4.3.1"},"reference-count":5,"publisher":"BMJ","issue":"10","license":[{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"unspecified","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,9,17]]},"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:p>A male patient in his seventh decade underwent elective open right inguinal hernia repair. Intraoperatively, we discovered complete spermatic cord duplication\u2014two separate structures, each containing a vas deferens and neurovascular bundle. The hernia repair was successfully completed with careful preservation of both cord structures. To our knowledge, this represents the first reported case of true complete spermatic cord duplication encountered during open inguinal hernia repair. Postoperative ultrasonography confirmed anatomical duplication and vascular patency. This case highlights a critical anatomical variant that demands intraoperative recognition and modified surgical technique to prevent iatrogenic injury and testicular ischaemia, providing a clear management strategy for this rare anomaly.<\/jats:p>","DOI":"10.1136\/bcr-2025-270040","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T16:05:18Z","timestamp":1791302718000},"page":"e270040","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Duplicated spermatic cord encountered during inguinal hernia repair"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-4111-4995","authenticated-orcid":false,"given":"Mohamed Abdelrahman Ahmed","family":"Ragab","sequence":"first","affiliation":[{"name":"General Surgery, Khoula Hospital, Mina Al Fahl, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3129-7076","authenticated-orcid":false,"given":"Shauq Rashid","family":"Al-Maawali","sequence":"additional","affiliation":[{"name":"General Surgery, Khoula Hospital, Mina Al Fahl, Muscat, Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alaa Eldin","family":"Yassin","sequence":"additional","affiliation":[{"name":"General Surgery, Khartoum State Ministry of Health, Khartoum, Khartoum, Sudan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elhaytham Eldirdiry","family":"Mohemad","sequence":"additional","affiliation":[{"name":"General Surgery, Khartoum State Ministry of Health, Khartoum, Khartoum, Sudan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,10,6]]},"reference":[{"key":"2026100609051064000_19.10.e270040.1","doi-asserted-by":"crossref","DOI":"10.1093\/bjsopen\/zrad080","article-title":"Update of the international HerniaSurge guidelines for groin hernia management","volume":"7","author":"Stabilini","year":"2023","journal-title":"BJS Open"},{"key":"2026100609051064000_19.10.e270040.2","doi-asserted-by":"crossref","first-page":"12","DOI":"10.5339\/qmj.2020.12","article-title":"Duplicated vas deferens as an incidental finding during indirect inguinal hernia repair: A case report and literature review","volume":"2020","author":"Ismaiel","year":"2020","journal-title":"Qatar Med J"},{"key":"2026100609051064000_19.10.e270040.3","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1016\/S0022-3468(05)80293-3","article-title":"True duplication of the vas deferens","volume":"28","author":"Binderow","year":"1993","journal-title":"J Pediatr Surg"},{"key":"2026100609051064000_19.10.e270040.4","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1111\/j.1442-2042.2005.01147.x","article-title":"Partial duplication of the vas deferens at the level of inguinal canal","volume":"12","author":"Akay","year":"2005","journal-title":"Int J of Urology"},{"key":"2026100609051064000_19.10.e270040.5","first-page":"211","article-title":"Duplication of vas deferens: a rare intraoperative finding during herniotomy","volume":"21","author":"Patil","year":"2021","journal-title":"Ochsner J"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-270040","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T16:05:20Z","timestamp":1791302720000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-270040"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":5,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2026,10,6]]},"published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1136\/bcr-2025-270040"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-270040","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]}}}