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Review
. 2015 Feb 19:10:3.
doi: 10.1186/1749-7922-10-3. eCollection 2015.

A proposal for a CT driven classification of left colon acute diverticulitis

Massimo Sartelli  1 Frederick A Moore  2 Luca Ansaloni  3 Salomone Di Saverio  4 Federico Coccolini  3 Ewen A Griffiths  5 Raul Coimbra  6 Ferdinando Agresta  7 Boris Sakakushev  8 Carlos A Ordoñez  9 Fikri M Abu-Zidan  10 Aleksandar Karamarkovic  11 Goran Augustin  12 David Costa Navarro  13 Jan Ulrych  14 Zaza Demetrashvili  15 Renato B Melo  16 Sanjay Marwah  17 Sanoop K Zachariah  18 Imtiaz Wani  19 Vishal G Shelat  20 Jae Il Kim  21 Michael McFarlane  22 Tadaja Pintar  23 Miran Rems  24 Miklosh Bala  25 Offir Ben-Ishay  26 Carlos Augusto Gomes  27 Mario Paulo Faro  28 Gerson Alves Pereira Jr  29 Marco Catani  30 Gianluca Baiocchi  31 Roberto Bini  32 Gabriele Anania  33 Ionut Negoi  34 Zurabs Kecbaja  35 Abdelkarim H Omari  36 Yunfeng Cui  37 Jakub Kenig  38 Norio Sato  39 Andras Vereczkei  40 Matej Skrovina  41 Koray Das  42 Giovanni Bellanova  43 Isidoro Di Carlo  44 Helmut A Segovia Lohse  45 Victor Kong  46 Kenneth Y Kok  47 Damien Massalou  48 Dmitry Smirnov  49 Mahir Gachabayov  50 Georgios Gkiokas  51 Athanasios Marinis  52 Charalampos Spyropoulos  53 Ioannis Nikolopoulos  54 Konstantinos Bouliaris  55 Jaan Tepp  56 Varut Lohsiriwat  57 Elif Çolak  58 Arda Isik  59 Daniel Rios-Cruz  60 Rodolfo Soto  61 Ashraf Abbas  62 Cristian Tranà  63 Emanuele Caproli  64 Darija Soldatenkova  35 Francesco Corcione  65 Diego Piazza  66 Fausto Catena  67
Affiliations
Review

A proposal for a CT driven classification of left colon acute diverticulitis

Massimo Sartelli et al. World J Emerg Surg. .

Abstract

Computed tomography (CT) imaging is the most appropriate diagnostic tool to confirm suspected left colonic diverticulitis. However, the utility of CT imaging goes beyond accurate diagnosis of diverticulitis; the grade of severity on CT imaging may drive treatment planning of patients presenting with acute diverticulitis. The appropriate management of left colon acute diverticulitis remains still debated because of the vast spectrum of clinical presentations and different approaches to treatment proposed. The authors present a new simple classification system based on both CT scan results driving decisions making management of acute diverticulitis that may be universally accepted for day to day practice.

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Figures

Figure 1
Figure 1
Suggested management of acute diverticulitis in the emergency setting.
Figure 2
Figure 2
Slightly thickened sigmoid diverticular disease, without abscess or perforation.
Figure 3
Figure 3
Diverticular disease, colonic wall thickening, fat stranding and pericolic fluid and air bubbles.
Figure 4
Figure 4
Sigmoid diverticulitis with associated abscess formation.
Figure 5
Figure 5
Distant retroperitoneal free gas by perforated diverticular disease.
Figure 6
Figure 6
Pelvic free fluid in patient with diffuse fluid and no distant air.
Figure 7
Figure 7
Distant free air in patient with diverticulitis perforation.

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