Anorchia Masked by Septo-optic Dysplasia
Macarthur K, Neal DE, Vanmorlan AM. Urology. 2011 Dec 21. [Epub ahead of print]


Department of Urology, University of Missouri-Columbia, School of Medicine, Columbia, MO.


Hypogonadism affecting the male pediatric population is uncommon, with that attributed to multiple unrelated etiologies being exceedingly rare. We report a case of septo-optic dysplasia, an atypical cause of delayed puberty, with subsequent workup unveiling 2 coexistent conditions: hypogonadotropic hypogonadism and anorchia. Primary and secondary etiologies must be considered in patients with undescended testes. Thorough evaluation is mandatory to ensure proper diagnosis and care, because Occam's razor can, on unique occasions, be double-edged.