Off topic to the extent it is in the Delta quadrant:
I have seen 18.4" notebooks with only 65W to 90W power blocks and for general usage they cannot be beaten for power consumption as it includes the monitor too.
Also have a look at PSUs like the Seasonic X650 which run semi-passively and are more or less silent at low loads. At 300W it was the quietest PSU SPCR ever reviewed.
I assume you have also looked at the various Nexus PSUs too like the Nexus Value 430.
OTH,you even get combinations like the PW-200-M DC-DC power supply and the 200W Dell DA-2 power adaptor.
Even Intel and AMD have various 45W and 65W quads available and with even one of the newer ones a system with an HD5870 and a motherboard with integrated graphics was drawing under 150W under load at the plug(it was a Legit Reviews article BTW).
OTH,if the Athlon II was undervolted power consumption would drop too especially with the newer Propus cores. Even TechPowerUp and SPCR managed to save around 30 watts off the load power consumption of an X4 620 too. Many of the X4 620 processors at launch were Deneb core processors as Propus was delayed.
In SFF systems the graphics card can be a big source of heat and also comprise a large percentage of the power draw at the plug.
Try passively cooling an HD5870 at load which is probably the biggest source of power draw in the system unless you have a 125W,130W or 140W TDP quad core. Even an HD5770 is probably drawing at least 60 to 70 watts at load.
If an SFF PC is not your area of interest then a larger case will have better soundproofing abilities in the first place.
Someone even runs an overclocked Core i7 920 passively cooled:
http://www.hardforum.com/showpost.php?p=1034430325
http://www.silentpcreview.com/forums/viewtopic.php?t=51218