20.500.12556/DiRROS-24851 Pediatric gonadal torsion in radiology a comprehensive literature and pictorial review using surgically proven cases Pediatric gonadal torsion is a critical surgical emergency requiring immediate diagnosis and intervention to preserve reproductive capabilities. This review addresses the diagnostic challenges, imaging patterns, and management strategies for both ovarian and testicular torsion, including a brief discussion on the emerging role of Contrast-Enhanced Ultrasound (CEUS), therefore filling a significant gap in the literature. We emphasize the need for a high index of suspicion due to often nonspecific clinical presentations, particularly in ovarian torsion. An accurate and swift diagnosis allows conservative surgical intervention to be offered, which is crucial to maximize gonadal salvage and minimize recurrence. While we highlight CEUS's potential benefits in enhancing diagnostic clarity without ionizing radiation, ultrasound and other modalities such as MRI and CT, have a paramount role in this setting. Future research comparing CEUS with MRI is essential to validate its diagnostic accuracy and effectiveness, potentially revolutionizing acute care diagnostics. Incorporating CEUS into diagnostic workflows, along with a deep understanding of the condition's epidemiology, pathophysiology, and clinical presentation, may probably significantly improve patient outcomes. We detail the characteristic imaging features, diagnostic pitfalls, and differential diagnoses essential for radiologists, with particular relevance for residents and those with limited pediatric radiology exposure. This review aims to bridge existing knowledge gaps and serve as a robust educational tool, facilitating better clinical decision-making and outcomes in pediatric gonadal torsion cases. contrastenhanced ultrasonography CEUS testicular torsion ovarian torsion ultrasonography pediatric surgery true false true Angleški jezik Ni določen Neznano 2025-12-22 13:41:05 2025-12-22 13:41:05 2025-12-23 03:59:19 0000-00-00 00:00:00 2025 0 0 Nasl. z nasl. zaslona; Opis z dne 17. 9. 2025; str. 1-18 [article no.] 100644 Vol. 14 2025 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-073.7:616-053.2 2352-0477 10.1016/j.ejro.2025.100644 249193731 RAZ_Freitas_Inacio_2025.pdf RAZ_Freitas_Inacio_2025.pdf 1 F2E38CF4DDFBFAB4DF57C1A7834774A2 170dcc5d047da9fda79e155ebf48fb0c87e440c1f380f09aba32d8b0625c6e02 a29b681a-df33-11f0-94a7-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=37178 https://www.ejropen.com/article/S2352-0477(25)00011-5/fulltext 0 adff0d59-df33-11f0-94a7-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=37179 Univerzitetni klinični center Ljubljana 0 0 0