Case presentation A 20-year-old man presented with complaints of congenital small penile size and absence of both testes in his scrotum. No intervention was done for the same.
He also had a history of anosmia since childhood. Clinical examination revealed the following: Poor development of secondary sexual characters Features suggestive of eunuchoid habitus: Arm span was more than his height by 8 cm, and upper:lower segment ratio was 0.76 (normal >0.9) Tallest in the family, with two normal siblings Micropenis, impalpable testes in the scrotum or inguinal canal (Image 1) Asymmetric bimanual synkinesia Normal hearing Ultrasonography Presence of both the testes in the inguinal canal, right (1.4/0.5 cm) and left (1.4/0.7 cm) No renal abnormality Laboratory investigations Total testosterone – 19.5 ng/dL Undetectable baseline LH level Peak LH (after a 500 μg leuprolide stimulation test) -…
