Bilateral segmental testicular infarction secondary to iron deficiency anemia: a case report

Segmental testicular infarction (STI) is an idiopathic testicular disease with a low incidence. Accurately diagnosing and treating this disease presents a challenge for clinicians. Iron deficiency anemia (IDA) is a relatively common blood disorder and is generally accompanied by thrombocytosis, which increases the risk of thrombosis. In the present study, we report a 38-year-old man who suffered from a rare bilateral STI, which may be related to IDA. After conservative treatment and timely administration of iron supplementation, we observed an improvement in the patient's IDA and bilateral STI. Ultrasound, magnetic resonance imaging, and laboratory tests helped us to accurately diagnose the disease and avoid unnecessary surgery. Following a month of follow-up, continuous ultrasound monitoring showed that the patient's lesions had completely disappeared, with no indications of recurrence. Therefore, ultrasound is a useful tool for the diagnosis and continuous monitoring of this type of disease.