Presentation
Infertility, married for 7 years with no children. No erection, no body hair, bilateral gynecomastia, and penis measuring 3 cm. Testosterone level: 0.89 nmol/L (decreased). The patient had a history of cleft palate repair since childhood
Patient Data
Age: 40 years
Gender: Male
From the case:
Testicular atrophy
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Bilateral testicular atrophy is noted with several macrocalcifications.
The right testis measures 13.8 x 6.8 mm.
The left testis measures 14.8 x 10.4 mm.
No clear internal vascularity is noted.
Case Discussion
The patient had a history of cleft palate repair since childhood, this congenital malformation may be seen in the Kallmann syndrome which may associated with cryptorchidism
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