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Abdominal Radiology
Published in: Abdominal Radiology 9/2016

01-09-2016 | Pictorial Essay

Acute colonic diverticulitis: an update on clinical classification and management with MDCT correlation

Authors: Maxime Barat, Anthony Dohan, Karine Pautrat, Mourad Boudiaf, Raphael Dautry, Youcef Guerrache, Marc Pocard, Christine Hoeffel, Clarisse Eveno, Philippe Soyer

Published in: Abdominal Radiology | Issue 9/2016

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Abstract

Currently, the most commonly used classification of acute colonic diverticulitis (ACD) is the modified Hinchey classification, which corresponds to a slightly more complex classification by comparison with the original description. This modified classification allows to categorize patients with ACD into four major categories (I, II, III, IV) and two additional subcategories (Ia and Ib), depending on the severity of the disease. Several studies have clearly demonstrated the impact of this classification for determining the best therapeutic approach and predicting perioperative complications for patients who need surgery. This review provides an update on the classification of ACD along with a special emphasis on the corresponding MDCT features of the different categories and subcategories. This modified Hinchey classification should be known by emergency physicians, radiologists, and surgeons in order to improve patient care and management because each category has a specific therapeutic approach.
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Metadata
Title
Acute colonic diverticulitis: an update on clinical classification and management with MDCT correlation
Authors
Maxime Barat
Anthony Dohan
Karine Pautrat
Mourad Boudiaf
Raphael Dautry
Youcef Guerrache
Marc Pocard
Christine Hoeffel
Clarisse Eveno
Philippe Soyer
Publication date
01-09-2016
Publisher
Springer US
Published in
Abdominal Radiology / Issue 9/2016
Print ISSN: 2366-004X
Electronic ISSN: 2366-0058
DOI
https://doi.org/10.1007/s00261-016-0764-1

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