Can contrast enhanced ultrasound (CEUS) be useful in the diagnosis of ovarian torsion in pediatric females? A preliminary monocentric experience View Full Text


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Article Info

DATE

2021-06-26

AUTHORS

Margherita Trinci, Ginevra Danti, Marco Di Maurizio, Stefano Tursini, Vito Briganti, Michele Galluzzo, Vittorio Miele

ABSTRACT

PurposeTo describe contrast enhanced ultrasound (CEUS) characteristics of ovarian torsion in pediatric females, assessing the potential diagnostic advantages of method as well as its limitations.Materials and methodsA retrospective study design was used. Between January 2018 and December 2020 we analyzed all pediatric females who underwent explorative surgery with a suspected diagnosis of ovarian torsion, and who were previously evaluated by conventional ultrasound (US), color-Doppler ultrasound (CDUS) and CEUS.ResultsWe examined twenty pediatric females with a median age of 12 years. US identified 9/20 ovarian complex masses against 13/20 by CEUS. At US abdominal free fluid was shown in 13/20 patients and in 18/20 cases with CEUS. In our case series the evaluation of contrast enhancement at CEUS in the detection of ovarian torsions revealed a sensitivity of 94.1%, a specificity of 100% and an overall accuracy of 95%.ConclusionAlthough there is a known ultrasound semeiotics suggestive of ovarian torsion, it is not always possible to obtain a diagnosis of certainty with conventional US even with CDUS. The study reports that complementation with CEUS showed excellent agreement with surgery obtaining a diagnosis in almost all the pediatric females examined. More... »

PAGES

505-514

References to SciGraph publications

  • 2018-10-25. Role of contrast-enhanced ultrasound (CEUS) in the diagnosis and management of traumatic splenic injuries in JOURNAL OF ULTRASOUND
  • 2014-04-09. Ultrasound in newborns and children suffering from non-traumatic acute abdominal pain: imaging with clinical and surgical correlation in JOURNAL OF ULTRASOUND
  • 2007-03-15. Sonographic findings of ovarian torsion in children in PEDIATRIC RADIOLOGY
  • 2019-02-13. A rare case of accessory spleen torsion in a child diagnosed by ultrasound (US) and contrast-enhanced ultrasound (CEUS) in JOURNAL OF ULTRASOUND
  • 2019-06-26. Rare case of an upper urinary tract carcinoma (UTUC) in renal pelvis and ureter associated to renal vein thrombosis: diagnostic imaging with CECT, MRI and CEUS in JOURNAL OF ULTRASOUND
  • 2015-03-31. Accuracy of contrast-enhanced ultrasound (CEUS) in the identification and characterization of traumatic solid organ lesions in children: a retrospective comparison with baseline US and CE-MDCT in LA RADIOLOGIA MEDICA
  • 2019-11-18. Surgical margin follow-up after nephron-sparing surgery: the possible role of CEUS in JOURNAL OF ULTRASOUND
  • 2018-12-08. Contrast-enhanced ultrasound (CEUS) in pediatric blunt abdominal trauma in JOURNAL OF ULTRASOUND
  • 2007-09-01. US findings of adnexal torsion in children and adolescents: size really does matter in PEDIATRIC RADIOLOGY
  • 2019-06-05. Diagnostic value of contrast-enhanced ultrasound (CEUS) and comparison with color Doppler ultrasound and magnetic resonance in a case of scrotal trauma in JOURNAL OF ULTRASOUND
  • 2019-08-01. A rare case of non-traumatic intrasplenic pseudoaneurysms in a patient with acute T-cell lymphoblastic leukemia in JOURNAL OF ULTRASOUND
  • 2013-09-28. Ovarian and tubal torsion: imaging findings on US, CT, and MRI in EMERGENCY RADIOLOGY
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    http://scigraph.springernature.com/pub.10.1007/s40477-021-00601-y

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    http://dx.doi.org/10.1007/s40477-021-00601-y

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1139177243

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/34176094


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