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Article
September 1953

TRANSABDOMINAL PNEUMOPERITONEUM AS AN AID IN THE DIAGNOSIS OF SEX-ENDOCRINE DISTURBANCES

Author Affiliations

CHICAGO
From the Sarah Morris Hospital for Children, the Childrens Endocrine Clinic, and the Department of Obstetrics and Gynecology and the Department of Metabolic and Endocrine Research, Medical Research Institute (supported in part by the Michael Reese Research Foundation), Michael Reese Hospital.

AMA Am J Dis Child. 1953;86(3):275-283. doi:10.1001/archpedi.1953.02050080285003
Abstract

ANY SIMPLE technical procedure is of value when it aids in establishing a clinical diagnosis without the necessity of an exploratory operation. It is our aim to show how pneumoperitoneum can be adapted to children for this purpose in various sex-endocrine disturbances. To the best of our knowledge, such a procedure has not been described in pediatric literature, and no mention is made of its use in children in gynecological writings and texts.

From a historical standpoint, diagnostic pneumoperitoneum is not new. Alvarez1 first introduced the use of carbon dioxide as the gas for pneumoperitoneum in 1921, and Case2 proclaimed pneumoperitoneum as a progressive step in roentgenologic diagnosis. Stewart and Stein,3 Stein and Arens,4 Peterson,5 Lewis,6 Sante,7 Faulkner,8 Martin,9 and Rubin10 contributed to improvement of the technique. Most of the credit for emphasizing the diagnostic potentialities of induced pneumoperitoneum and

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