title: Acute colonic diverticulitis: an update on clinical classification and management with MDCT correlation.
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.
authors.affiliation: Department of Body & Interventional Imaging, Hôpital Lariboisière-APHP, 2 rue Ambroise Paré, 75010, Paris, France. maxime.barat89@gmail.com.
authors.forename: Maxime
authors.initials: M
authors.lastname: Barat
authors.affiliation: UMR INSERM 965, 2 rue Ambroise Paré, 75010, Paris, France.
authors.forename: Anthony
authors.initials: A
authors.lastname: Dohan
authors.affiliation: Department of Oncological Abdominal Surgery, Hôpital Lariboisière-APHP, 2 rue Ambroise Paré, 75010, Paris, France.
authors.forename: Karine
authors.initials: K
authors.lastname: Pautrat
authors.affiliation: Department of Body & Interventional Imaging, Hôpital Lariboisière-APHP, 2 rue Ambroise Paré, 75010, Paris, France.
authors.forename: Mourad
authors.initials: M
authors.lastname: Boudiaf
authors.affiliation: Department of Body & Interventional Imaging, Hôpital Lariboisière-APHP, 2 rue Ambroise Paré, 75010, Paris, France.
authors.forename: Raphael
authors.initials: R
authors.lastname: Dautry
authors.affiliation: Department of Body & Interventional Imaging, Hôpital Lariboisière-APHP, 2 rue Ambroise Paré, 75010, Paris, France.
authors.forename: Youcef
authors.initials: Y
authors.lastname: Guerrache
authors.affiliation: UMR INSERM 965, 2 rue Ambroise Paré, 75010, Paris, France.|Department of Oncological Abdominal Surgery, Hôpital Lariboisière-APHP, 2 rue Ambroise Paré, 75010, Paris, France.|Université Paris-Diderot, Sorbonne-Paris Cité, 10 Rue de Verdun, 75010, Paris, France.
authors.forename: Marc
authors.initials: M
authors.lastname: Pocard
authors.affiliation: Department of Radiology, Hôpital Robert Debré, 11 Boulevard Pasteur, 51092, Reims Cedex, France.
authors.forename: Christine
authors.initials: C
authors.lastname: Hoeffel
authors.affiliation: UMR INSERM 965, 2 rue Ambroise Paré, 75010, Paris, France.|Department of Oncological Abdominal Surgery, Hôpital Lariboisière-APHP, 2 rue Ambroise Paré, 75010, Paris, France.|Université Paris-Diderot, Sorbonne-Paris Cité, 10 Rue de Verdun, 75010, Paris, France.
authors.forename: Clarisse
authors.initials: C
authors.lastname: Eveno
authors.affiliation: UMR INSERM 965, 2 rue Ambroise Paré, 75010, Paris, France.|Université Paris-Diderot, Sorbonne-Paris Cité, 10 Rue de Verdun, 75010, Paris, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Soyer
mesh_terms: D000208:Acute Disease; D004238:Diverticulitis; D004239:Diverticulitis, Colonic; D006801:Humans; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed
keywords: Acute colonic diverticulitis; Computed tomography; Diverticulitis; Hinchey classification; Percutaneous drainage management