Walker J D, Gray L A, Polk H C
Ann Surg. 1977 Apr;185(4):402-5. doi: 10.1097/00000658-197704000-00005.
A final diagnosis of diverticulosis or diverticulitis was made in 1,031 women over a 10 year period. The 69 patients who underwent abdominal operation for what proved to be diverticulitis are discussed in detail. Thirty-eight per cent of these women were believed to have gynecologic disease because of the presence of a pelvic mass. Diverticulitis is an important differential diagnosis of a pelvic mass with or without clinical and laboratory indications of infection and with or without history of diverticulosis or diverticulitis. The increasing awareness of ovarian carcinoma and its ominous prognosis make this differential diagnosis especially important. Diverticular disease should always be considered among such patients and preparations made to allow optimal treatment at that operation, whatever the ultimate cause of the mass.
在10年期间，对1031名女性做出了憩室病或憩室炎的最终诊断。对69例因最终证实为憩室炎而接受腹部手术的患者进行了详细讨论。这些女性中有38%因盆腔肿块而被认为患有妇科疾病。憩室炎是盆腔肿块重要的鉴别诊断疾病，无论有无感染的临床和实验室指征，也无论有无憩室病或憩室炎病史。对卵巢癌及其预后不良的认识不断提高，使得这种鉴别诊断尤为重要。对于这类患者，无论肿块的最终病因是什么，都应始终考虑憩室病，并做好准备以便在手术时进行最佳治疗。
