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  • Title: Hypogonadotropic hypogonadism with Zinner syndrome: a coincidence or a consequence?
    Author: Shah R, Mukherjee S, Bhadada SK, Walia R.
    Journal: BMJ Case Rep; 2024 Jun 19; 17(6):. PubMed ID: 38901851.
    Abstract:
    This case report describes a man in his 20s presenting with bilateral crypto-orchidism, micropenis and underdeveloped secondary sexual characteristics. The patient also exhibited hyposmia, eunuchoid stature and gynecomastia. Biochemical investigations revealed low levels of testosterone, luteinising hormone and follicle-stimulating hormone. Hence, he was diagnosed with Kallmann syndrome. Imaging studies showed an absent right kidney and cystic dilatation of the distal ureteric bud, seminal vesicle and absent/hypoplastic ejaculatory duct. The association of hypogonadotropic hypogonadism with Zinner syndrome, a rare condition characterised by renal agenesis, seminal vesicle cyst and ejaculatory duct obstruction, was noted.
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