SOURCE: dell 4600 motherboard
That particular Dell uses a power supply with non-standard wiring. The plug is the same size as an ATX plug, but it's wired differently. If you were to replace motherboard & plug in the standard power supply, it would damage the supply, or the motherboard, or both. Also, the front panel plugs (for power & power LED & hard drive indicator) are proprietary as well. Ideally you should replace it with another Dell Dimension 4600 motherboard. I've found replacements for reasonable prices on some of the auction places on the web. I recently replaced a failed motherboard in my Dimension 8300 with one I got from a popular auction site, I think my cost was about $59 plus shipping.
The other option would be to remove the hard drive, video card (if any), and optical drives, and consider a 'barebones' package from various sites such as geeks or newegg.
SOURCE: connecting dell dimension 4600 to home theater.
If you have either an Optical audio out connection or a pair of rca connectors you should be able to do this
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