Hinchey classification for diverticulitis
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Background
- Diverticulitis can present with range of severities and thus need for inpatient vs outpatient management
Hinchey Classification
- Based on radiographic features
- Stage 1a- phlegmon
- Stage 1b- diverticulitis with pericolic or mesenteric abscess
- Stage 2 - diverticulitis with walled off pelvic abscess
- Stage 3 - diverticulitis with generalised purulent peritonitis
- Stage 4 - diverticulitis with generalised faecal peritonitis
Modified Hinchey Classification
- 0 Mild clinical diverticulitis
- Ia Confined pericolic inflammation or phlegmon
- Ib Pericolic or mesocolic abscess
- II Pelvic, distant intraabdominal, or retroperitoneal abscess
- III Generalized purulent peritonitis
- IV Generalized fecal peritonitis
See Also
References
- Hinchey EJ, Schaal PG, Richards GK. Treatment of perforated diverticular disease of the colon. Adv Surg. 1979;12: 85-109.
- Wasvary H, Turfah F, Kadro O, et al. Same hospitalization resection for acute diverticulitis. Am Surg. 1999;65:632–635.