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. 2024 Sep 27;12(9):e70031. doi: 10.1002/iid3.70031

Table 4.

Modified Hinchey Classification.

Stage Modified Hinchey classification CT findings
0 Mild clinical diverticulitis Diverticulum ± colonic wall thickening
Ia Confined pericolonic inflammation/phlegmon Colonic wall thickening with pericolonic soft tissue changes
Ib Pericolonic/mesocolic abscess Ia changes + pericolonic/mesocolic abscess
II Pelvic, distant intraabdominal or retroperitoneal abscess Ia changes + distant abscess (generally deep in the pelvis or in interloop regions)
III Generalized purulent peritonitis Free gas associated with localized or generalized ascites and possible peritoneal wall thickening
IV Generalized fecal peritonitis Same findings as III