Maynor C H, Kliewer M A, Hertzberg B S, Paulson E K, Keogan M T, Carroll B A
Department of Radiology, Duke University Medical Center, Durham, North Carolina 27710, USA.
J Ultrasound Med. 1996 Mar;15(3):189-94. doi: 10.7863/jum.1996.15.3.189.
Diverticula of the urinary bladder can occasionally appear as complex pelvic masses not obviously connected to the bladder. Such presentations can lead to diagnostic confusion and interpretative error. Sonographic findings and clinical histories were reviewed in 11 patients in whom bladder diverticula were initially mistaken for other types of pathologic pelvic processes. Sonographic techniques that were helpful in elucidating the true nature of the lesions included scanning from different perspectives with increasing increments of bladder distention, postvoid images, endovaginal views, and color Doppler interrogation. The diagnosis of bladder diverticula should be considered and actively pursued when sonologists are confronted with pelvic masses of ambiguous origin.
膀胱憩室偶尔可表现为复杂的盆腔肿块，与膀胱无明显连接。这种表现可导致诊断混淆和解释错误。回顾了11例最初将膀胱憩室误诊为其他类型盆腔病理过程患者的超声检查结果和临床病史。有助于阐明病变真实性质的超声技术包括在膀胱逐渐充盈时从不同角度扫描、排尿后图像、经阴道超声检查以及彩色多普勒检查。当超声科医生面对起源不明的盆腔肿块时，应考虑并积极排查膀胱憩室的诊断。
