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PELVIC PNEUMOGRAPHY IN CHILDREN

BARBARA M. LIPPE M.D., MICHAEL T. GYEPES M.D., and SOLOMON A. KAPLAN M.D.

Pelvic pneumography has been performed in 46 children and adolescents over a 4 year period.

The patients were grouped into 7 categories based on their initial clinical presentations: sexual precocity; gonadal dysgenesis; primary amenorrhea; secondary amenorrhea; hirsutism and/or viribization; pseudohermaphroditism; and previously unclear diagnoses.

Pneumography was useful in characterizing ovarian and uterine size, identifying ovarian neoplasms and polycystic ovaries, and determining the presence or absence of the uterus and gonads.

The technique is described in detail and noted to be largely free of complications. Based on our experience its wider use in the evaluation of complex endocrine and gynecologic disorders in children is recommended.


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