| Naslov: | Pediatric gonadal torsion in radiology : a comprehensive literature and pictorial review using surgically proven cases |
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| Avtorji: | ID Freitas, Inácio (Avtor)
ID Soares-Aquino, Carolina (Avtor)
ID Sá, Pedro (Avtor)
ID Silva, Ana Catarina (Avtor)
ID Ključevšek, Damjana (Avtor)
ID Costa Dias, Sílvia (Avtor) |
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| Datoteke: |  PDF - Predstavitvena datoteka, prenos (21,21 MB)
MD5: F2E38CF4DDFBFAB4DF57C1A7834774A2
 URL - Izvorni URL, za dostop obiščite https://www.ejropen.com/article/S2352-0477(25)00011-5/fulltext
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| Jezik: | Angleški jezik |
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| Tipologija: | 1.02 - Pregledni znanstveni članek |
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| Organizacija: |  UKC LJ - Univerzitetni klinični center Ljubljana
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| Povzetek: | 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. |
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| Ključne besede: | contrastenhanced ultrasonography, CEUS, testicular torsion, ovarian torsion, ultrasonography, pediatric surgery |
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| Status publikacije: | Objavljeno |
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| Verzija publikacije: | Objavljena publikacija |
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| Leto izida: | 2025 |
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| Št. strani: | str. 1-18 |
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| Številčenje: | Vol. 14, [article no.] 100644 |
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| PID: | 20.500.12556/DiRROS-24851  |
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| UDK: | 616-073.7:616-053.2 |
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| ISSN pri članku: | 2352-0477 |
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| DOI: | 10.1016/j.ejro.2025.100644 |
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| COBISS.SI-ID: | 249193731 |
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| Opomba: | Nasl. z nasl. zaslona;
Opis z dne 17. 9. 2025;
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| Datum objave v DiRROS: | 22.12.2025 |
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| Število ogledov: | 8 |
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| Število prenosov: | 4 |
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| Metapodatki: |    |
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