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 microcalcifications.
The right testis measures 14 x 7 mm.
The left testis measures 15 x 10 mm.
No clear internal vascularity.
Case Discussion
The patient had a history of cleft palate repair since childhood, this congenital malformation may be seen in Kallmann syndrome which may be associated with cryptorchidism
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