Fourteen adolescents with pelvic pain and a gynecologic mass at physical examination were investigated by magnetic resonance imaging (MRI) and subsequently ultrasonography and laparoscopy. Seven of them underwent surgery to correct the underlying disease. MRI correctly identified the origin of the pelvic mass in 13 patients, as well as all the cases of uterine disease: cervical agenesis with hematometra in one girl, unicornuate uterus with rudimentary horn in one, uterus didelphys with imperforate hemivagina in two, and septate uterus in one. MRI was also able to distinguish serous and hemorrhagic from mucinous adnexal cysts. The only case not correctly diagnosed was a hydrocele due to pelvic inflammatory disease mistaken for a serous ovarian cyst. MRI may have an important role in the differential diagnosis of organic gynecologic disease of adolescence. It is more precise than sonography in defining the structure of the lesions, and unlike laparoscopy, does not require hospitalization and anesthesia and is, thus, less costly.
|Number of pages||6|
|Journal||Adolescent and Pediatric Gynecology|
|Publication status||Published - 1990|
ASJC Scopus subject areas
- Obstetrics and Gynaecology
- Pediatrics, Perinatology, and Child Health