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. 2008 Apr-Jun;12(2):188–193.

Table 1.

Modified Hinchey Classification of Acute Diverticulitis [modified from (9) and (26)]

Stage Characteristics
0 Mild clinical diverticulitis (left lower quadrant abdominal pain, low-grade fever, leukocytosis, no imaging information)
1a Confined pericolic inflammation, no abscess
1b Confined pericolic abscess (abscess or phlegmon may be palpable; fever; severe, localized abdominal pain)
2a Distant abscess amenable to percutaneous drainage
2b Complex abscess associated with/without fistula
3 Generalized purulent peritonitis, no communication with bowel lumen
4 Feculent peritonitis, open communication with bowel lumen
Complications Fistula, obstruction (large bowel or small bowel)