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Acute colonic diverticulitis: an update on clinical classification and management with MDCT correlation

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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.

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References

  1. Hastings RS, Powers RD (2011) Abdominal pain in the ED: a 35 year retrospective. Am J Emerg Med 29:711–716

    Article  PubMed  Google Scholar 

  2. Wilkins T, Embry K, George R (2013) Diagnosis and management of acute diverticulitis. Am Fam Physician 87:612–620

    PubMed  Google Scholar 

  3. Jacobs DO (2007) Clinical practice. Diverticulitis. N Engl J Med 357:2057–2066

    Article  CAS  PubMed  Google Scholar 

  4. Kircher MF, Rhea JT, Kihiczak D, Novelline RA (2002) Frequency, sensitivity, and specificity of individual signs of diverticulitis on thin-section helical CT with colonic contrast material: experience with 312 cases. AJR Am J Roentgenol 178:1313–1318

    Article  PubMed  Google Scholar 

  5. Frileux P, Dubrez J, Burdy G, et al. (2010) Sigmoid diverticulitis. Longitudinal analysis of 222 patients with a minimal follow up of 5 years. Colorectal Dis 12:674–680

    Article  CAS  PubMed  Google Scholar 

  6. Hinchey EJ, Schaal PG, Richards GK (1978) Treatment of perforated diverticular disease of the colon. Adv Surg 12:85–109

    CAS  Google Scholar 

  7. Unlü C, Beenen LFM, Fauquenot JMB, et al. (2014) Inter-observer reliability of computed tomographic classifications of diverticulitis. Colorectal Dis 16:212–219

    Article  Google Scholar 

  8. Wasvary H, Turfah F, Kadro O, Beauregard W (1999) Same hospitalization resection for acute diverticulitis. Am Surg 65:632–635

    CAS  PubMed  Google Scholar 

  9. Ambrosetti P, Robert J, Witzig JA, et al. (1992) Incidence, outcome, and proposed management of isolated abscesses complicating acute left-sided colonic diverticulitis: a prospective study of 140 patients. Dis Colon Rectum 35:1072–1076

    Article  CAS  PubMed  Google Scholar 

  10. Antolovic D, Reissfelder C, Koch M, et al. (2009) Surgical treatment of sigmoid diverticulitis—analysis of predictive risk factors for postoperative infections, surgical complications, and mortality. Int J Colorectal Dis 24:577–584

    Article  CAS  PubMed  Google Scholar 

  11. Soumian S (2008) Management of Hinchey II diverticulitis. World J Gastroenterol 14:7163

    Article  PubMed  PubMed Central  Google Scholar 

  12. Cirocchi R, Arezzo A, Renzi C, et al. (2015) Is laparoscopic surgery the best treatment in fistulas complicating diverticular disease of the sigmoid colon? A systematic review. Int J Surg 24:95–100

    Article  Google Scholar 

  13. Wieghard N, Geltzeiler CB, Tsikitis VL (2015) Trends in the surgical management of diverticulitis. Ann Gastroenterol Q 28:25–30

    Google Scholar 

  14. Sethbhakdi S (1976) Pathogenesis of colonic diverticulitis and diverticulosis. Postgrad Med 60:76–81

    Article  CAS  PubMed  Google Scholar 

  15. Ferzoco LB, Raptopoulos V, Silen W (1998) Acute diverticulitis. N Engl J Med 338:1521–1526

    Article  CAS  PubMed  Google Scholar 

  16. Shabanzadeh DM, Wille-Jørgensen P (2012) Antibiotics for uncomplicated diverticulitis. Cochrane Database Syst Rev 11:CD009092

    PubMed  Google Scholar 

  17. Stollman NH, Raskin JB (1999) Diverticular disease of the colon. J Clin Gastroenterol 29:241–252

    Article  CAS  PubMed  Google Scholar 

  18. Morris AM, Regenbogen SE, Hardiman KM, Hendren S (2014) Sigmoid diverticulitis: a systematic review. JAMA 311:287–297

    Article  CAS  PubMed  Google Scholar 

  19. Anania G, Vedana L, Santini M, et al. (2014) Complications of diverticular disease: surgical laparoscopic treatment. G Chir 35:126–128

    CAS  PubMed  PubMed Central  Google Scholar 

  20. Floch MH, Bina I (2004) The natural history of diverticulitis: fact and theory. J Clin Gastroenterol 38:S2–S7

    Article  PubMed  Google Scholar 

  21. Brook I, Frazier EH (2000) Aerobic and anaerobic microbiology in intra-abdominal infections associated with diverticulitis. J Med Microbiol 49:827–830

    Article  CAS  PubMed  Google Scholar 

  22. Aschoff AJ (2006) MDCT of the abdomen. Eur Radiol 16(Suppl 7):54–57

    Article  Google Scholar 

  23. Floch MH, White JA (2006) Management of diverticular disease is changing. World J Gastroenterol 12:3225–3228

    Article  PubMed  PubMed Central  Google Scholar 

  24. Barral M, Boudiaf M, Dohan A, et al. (2015) MDCT of acute colitis in adults: an update in current imaging features. Diagn Intervent Imaging 96:133–149

    Article  CAS  Google Scholar 

  25. Soyer P, Dohan A, Eveno C, et al. (2013) Pitfalls and mimickers at 64-section helical CT that cause negative appendectomy: an analysis from 1057 appendectomies. Clin Imaging 37:895–901

    Article  PubMed  Google Scholar 

  26. Zielke A, Hasse C, Nies C, et al. (1997) Prospective evaluation of ultrasonography in acute colonic diverticulitis. Br J Surg 84:385–388

    Article  CAS  PubMed  Google Scholar 

  27. Pradel JA, Adell JF, Taourel P, et al. (1997) Acute colonic diverticulitis: prospective comparative evaluation with US and CT. Radiology 205:503–512

    Article  CAS  PubMed  Google Scholar 

  28. Verbanck J, Lambrecht S, Rutgeerts L, et al. (1989) Can sonography diagnose acute colonic diverticulitis in patients with acute intestinal inflammation? A prospective study. J Clin Ultrasound 17:661–666

    Article  CAS  PubMed  Google Scholar 

  29. Schwerk WB, Schwarz S, Rothmund M, Arnold R (1993) Colon diverticulitis: imaging diagnosis with ultrasound: a prospective study. Z Gastroenterol 31:294–300

    CAS  PubMed  Google Scholar 

  30. Dohan A, Dautry R, Guerrache Y, et al. (2015) Three-dimensional MDCT angiography of splanchnic arteries: pearls and pitfalls. Diagn Intervent Imaging 96:187–200

    Article  CAS  Google Scholar 

  31. Dohan A, Eveno C, Dautry R, et al. (2015) Role and effectiveness of percutaneous arterial embolization in hemodynamically unstable patients with ruptured splanchnic artery pseudoaneurysms. Cardiovasc Intervent Radiol 38:862–870

    Article  PubMed  Google Scholar 

  32. Lecleire S, Nahon S, Alatawi A, et al. (2014) Diagnostic impact of routine colonoscopy following acute diverticulitis: a multicenter study in 808 patients and controls. United Eur Gastroenterol J 2:301–306

    Article  Google Scholar 

  33. Gielens MPM, Mulder IM, van der Harst E, et al. (2012) Preoperative staging of perforated diverticulitis by computed tomography scanning. Tech Coloproctol 16:363–368

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  34. Lohrmann C, Ghanem N, Pache G, et al. (2005) CT in acute perforated sigmoid diverticulitis. Eur J Radiol 56:78–83

    Article  PubMed  Google Scholar 

  35. Hansen O, Stock W (1999) Prophylactic resection in diverticular disease—treatment by precise staging. Langenbecks Arch Chir Kongressbd 116(Suppl II):1257–1260

    Google Scholar 

  36. Sher ME, Agachan F, Bortul M, et al. (1997) Laparoscopic surgery for diverticulitis. Surg Endosc 11:264–267

    Article  CAS  PubMed  Google Scholar 

  37. Sauerland S, Agresta F, Bergamaschi R, et al. (2006) Laparoscopy for abdominal emergencies: evidence-based guidelines of the European Association for Endoscopic Surgery. Surg Endosc 20:14–29

    Article  CAS  PubMed  Google Scholar 

  38. Hall J, Hammerich K, Roberts P (2010) New paradigms in the management of diverticular disease. Curr Probl Surg 47:680–735

    Article  PubMed  Google Scholar 

  39. Werner A, Diehl SJ, Farag-Soliman M, Düber C (2003) Multi-slice spiral CT in routine diagnosis of suspected acute left-sided colonic diverticulitis: a prospective study of 120 patients. Eur Radiol 13:2596–2603

    Article  CAS  PubMed  Google Scholar 

  40. Thorisson A, Smedh K, Torkzad MR, Påhlman L, Chabok A (2015) CT imaging for prediction of complications and recurrence in acute uncomplicated diverticulitis. Int J Colorectal Dis. doi:10.1007/s00384-015-2423-3.

  41. Ambrosetti P, Grossholz M, Becker C, Terrier F, Morel P (1997) Computed tomography in acute left colonic diverticulitis. Br J Surg 84:532–534

    Article  CAS  PubMed  Google Scholar 

  42. Hulnick DH, Megibow AJ, Balthazar EJ, Naidich DP, Bosniak MA (1984) Computed tomography in the evaluation of diverticulitis. Radiology 152:491–495

    Article  CAS  PubMed  Google Scholar 

  43. Lieberman JM, Haaga JR (1983) Computed tomography of diverticulitis. J Comput Assist Tomogr 7:431–433

    Article  CAS  PubMed  Google Scholar 

  44. Tack D, Bohy P, Perlot I, et al. (2005) Suspected acute colon diverticulitis: imaging with low-dose unenhanced multi-detector row CT. Radiology 237:189–196

    Article  Google Scholar 

  45. Scarpa CR, Buchs NC, Poncet A, et al. (2015) Short-term intravenous antibiotic treatment in uncomplicated diverticulitis does not increase the risk of recurrence compared to long-term treatment. Ann Coloproctol 31:52–56

    Article  PubMed  PubMed Central  Google Scholar 

  46. Chabok A, Påhlman L, Hjern F, et al. (2012) Randomized clinical trial of antibiotics in acute uncomplicated diverticulitis. Br J Surg 99:532–539

    Article  CAS  Google Scholar 

  47. Buchs NC, Konrad-Mugnier B, Jannot A-S, et al. (2013) Assessment of recurrence and complications following uncomplicated diverticulitis. Br J Surg 100:976–979

    Article  CAS  PubMed  Google Scholar 

  48. Buchs NC, Mortensen NJ, Ris F, Morel P, Gervaz P (2015) Natural history of uncomplicated sigmoid diverticulitis. World J Gastrointest Surg 7:313–318

    Article  PubMed  PubMed Central  Google Scholar 

  49. Miki T, Ogata S, Uto M, et al. (2004) Multidetector-row CT findings of colonic perforation: direct visualization of ruptured colonic wall. Abdom Imaging 29:658–662

    Article  CAS  PubMed  Google Scholar 

  50. Park H-C, Chang MY, Lee BH (2010) Nonoperative management of right colonic diverticulitis using radiologic evaluation. Colorectal Dis 12:105–108

    Article  PubMed  Google Scholar 

  51. Benoist S, Panis Y, Pannegeon V, et al. (2002) Can failure of percutaneous drainage of postoperative abdominal abscesses be predicted? Am J Surg 184:148–153

    Article  PubMed  Google Scholar 

  52. Siewert B, Tye G, Kruskal J, et al. (2006) Impact of CT-guided drainage in the treatment of diverticular abscesses: size matters. AJR Am J Roentgenol 186:680–686

    Article  PubMed  Google Scholar 

  53. Mueller PR, Saini S, Wittenburg J, et al. (1987) Sigmoid diverticular abscesses: percutaneous drainage as an adjunct to surgical resection in 24 cases. Radiology 164:321–325

    Article  CAS  PubMed  Google Scholar 

  54. Stabile BE, Puccio E, vanSonnenberg E, Neff CC (1990) Preoperative percutaneous drainage of diverticular abscesses. Am J Surg 159:99–104

    Article  CAS  PubMed  Google Scholar 

  55. Van Sonnenberg E, Wittich GR, Goodacre BW, Casola G, D’Agostino HB (2001) Percutaneous abscess drainage: update. World J Surg 25:362–369

    Article  Google Scholar 

  56. Ryan JM, Murphy BL, Boland GW, Mueller PR (1998) Use of the transgluteal route for percutaneous abscess drainage in acute diverticulitis to facilitate delayed surgical repair. AJR Am J Roentgenol 170:1189–1193

    Article  CAS  PubMed  Google Scholar 

  57. Kassi F, Dohan A, Soyer P, et al. (2014) Predictive factors for failure of percutaneous drainage of postoperative abscess after abdominal surgery. Am J Surg 207:915–921

    Article  PubMed  Google Scholar 

  58. Felder SI, Barmparas G, Lynn J, et al. (2013) Can the need for colectomy after computed tomography-guided percutaneous drainage for diverticular abscess be predicted? Am Surg 79:1013–1016

    PubMed  Google Scholar 

  59. Aubé C, Haghbin H, Lebigot J, et al. (2004) Value of the transgluteal approach under CT-guidance for percutaneous interventional image guided procedures. J Radiol 85:117–123

    Article  PubMed  Google Scholar 

  60. Röthlin MA, Schöb O, Klotz H, Candinas D, Largiadèr F (1998) Percutaneous drainage of abdominal abscesses: are large-bore catheters necessary? Eur J Surg 164:419–424

    Article  PubMed  Google Scholar 

  61. Soyer P, Boudiaf M, Alves A, et al. (2005) CT-Guided transgluteal approach for percutaneous drainage of pelvic abscesses: results in 21 patients. Ann Chir 130:162–168

    Article  CAS  Google Scholar 

  62. Harisinghani MG, Gervais DA, Maher MM, et al. (2003) Transgluteal approach for percutaneous drainage of deep pelvic abscesses: 154 cases. Radiology 228:701–705

    Article  PubMed  Google Scholar 

  63. Elagili F, Stocchi L, Ozuner G, et al. (2015) Predictors of postoperative outcomes for patients with diverticular abscess initially treated with percutaneous drainage. Am J Surg 209:703–708

    Article  Google Scholar 

  64. Rafferty J, Shellito P, Hyman NH, Buie WD, Standards Committee of American Society of Colon and Rectal Surgeons (2006) Practice parameters for sigmoid diverticulitis. Dis Colon Rectum 49:939–944

    Article  PubMed  Google Scholar 

  65. Meyer AA, Sadiq TS (2015) What are the indications for resection after an episode of sigmoid diverticulitis? Adv Surg 49:1–13

    Article  PubMed  Google Scholar 

  66. Chapman JR, Dozois EJ, Wolff BG, Gullerud RE, Larson DR (2006) Diverticulitis: a progressive disease? Do multiple recurrences predict less favorable outcomes? Ann Surg 243:876–883

    Article  PubMed  PubMed Central  Google Scholar 

  67. Egger B, Peter MK, Candinas D (2008) Persistent symptoms after elective sigmoid resection for diverticulitis. Dis Colon Rectum 51:1044–1048

    Article  PubMed  Google Scholar 

  68. Sessa B, Galluzzo M, Ianniello S, et al. (2016) Acute perforated diverticulitis: assessment with multidetector computed tomography. Semin Ultrasound CT MRI 37:37–48

    Article  Google Scholar 

  69. Pugliese R, Di Lernia S, Sansonna F, et al. (2004) Laparoscopic treatment of sigmoid diverticulitis: a retrospective review of 103 cases. Surg Endosc 18:1344–1348

    Article  CAS  PubMed  Google Scholar 

  70. Reymond E, Collomb D, Reche F, Bricault I (2010) Myometrial and perisigmoid abscess on sigmoiditis: treatment by radiological draining. J Radiol 91:1151–1154

    Article  CAS  PubMed  Google Scholar 

  71. Schulze MM, König C (2009) Empyema of the hip joint and psoas abscess: rare complications in inapparent sigmoid diverticulitis. Rofo 181:897–900

    Article  CAS  PubMed  Google Scholar 

  72. Valero M, Parés D, Pera M, Grande L (2008) Brain abscess as a rare complication of acute sigmoid diverticulitis. Tech Coloproctol 12:76–78

    CAS  PubMed  Google Scholar 

  73. Kamath V, Mishra N, Gunabushanam V, Friedman B, Held D (2011) Nervous system abscess: a rare complication of diverticulitis. Colorectal Dis 13:e420–e421

    Article  CAS  PubMed  Google Scholar 

  74. Robert M, Paparel P, Arnal E, Voiglio E, Caillot JL (2004) Liver abscesses secondary to sigmoid diverticulitis: report of four cases. Rev Med Interne 25:915–919

    Article  CAS  PubMed  Google Scholar 

  75. Fujii T, Sutoh T, Morita H, et al. (2012) Perianal abscess and sigmoidocutaneous fistula due to diverticulitis. Am Surg 78:62–63

    PubMed  Google Scholar 

  76. Fernández-García N, Mesa-Álvarez A, Calvo-Blanco J, et al. (2011) Tuboovarian abscess as unusual presentation of tubarian fistula secondary to sigmoid diverticulitis. Rev Esp Enferm Dig 103:264–265

    Article  PubMed  Google Scholar 

  77. Cho KC, Morehouse HT, Alterman DD, Thornhill BA (1990) Sigmoid diverticulitis: diagnostic role of CT—comparison with barium enema studies. Radiology 176:111–115

    Article  CAS  PubMed  Google Scholar 

  78. Oberkofler CE, Rickenbacher A, Raptis DA, et al. (2012) A multicenter randomized clinical trial of primary anastomosis or Hartmann’s procedure for perforated left colonic diverticulitis with purulent or fecal peritonitis. Ann Surg 256:819–826

    Article  PubMed  Google Scholar 

  79. Vermeulen J, Akkersdijk GP, Gosselink MP, et al. (2007) Outcome after emergency surgery for acute perforated diverticulitis in 200 cases. Dig Surg 24:361–366

    Article  PubMed  Google Scholar 

  80. Morris CR, Harvey IM, Stebbings WSL, Hart AR (2008) Incidence of perforated diverticulitis and risk factors for death in a UK population. Br J Surg 95:876–881

    Article  CAS  PubMed  Google Scholar 

  81. Oomen JLT, Engel AF, Cuesta MA (2006) Mortality after acute surgery for complications of diverticular disease of the sigmoid colon is almost exclusively due to patient related factors. Colorectal Dis 8:112–119

    Article  CAS  PubMed  Google Scholar 

  82. Trenti L, Biondo S, Golda T, et al. (2011) Generalized peritonitis due to perforated diverticulitis: Hartmann’s procedure or primary anastomosis? Int J Colorectal Dis 26:377–384

    Article  PubMed  Google Scholar 

  83. Toro A, Mannino M, Reale G, Cappello G, Di Carlo I (1990) Primary anastomosis vs Hartmann procedure in acute complicated diverticulitis: evolution over the last twenty years. Chirurgia (Bucur) 2012(107):598–604

    Google Scholar 

  84. Eveno C, Latrasse V, Gayat E, et al. (2016) Colorectal anastomotic leakage can be predicted by abdominal aortic calcification on preoperative CT scans: a pilot study. J Visc Surg. doi:10.1016/j.jviscsurg.2016.03.007

    PubMed  Google Scholar 

  85. Faiz O, Warusavitarne J, Bottle A, et al. (2010) Nonelective excisional colorectal surgery in English National Health Service Trusts: a study of outcomes from Hospital Episode Statistics Data between 1996 and 2007. J Am Coll Surg 210:390–401

    Article  PubMed  Google Scholar 

  86. Ince M, Stocchi L, Khomvilai S, et al. (2012) Morbidity and mortality of the Hartmann procedure for diverticular disease over 18 years in a single institution. Colorectal Dis 14:e492–e498

    Article  CAS  PubMed  Google Scholar 

  87. Cirocchi R, Trastulli S, Desiderio J, et al. (2013) Treatment of Hinchey stage III–IV diverticulitis: a systematic review and meta-analysis. Int J Colorectal Dis 28:447–457

    Article  PubMed  Google Scholar 

  88. Vennix S, Boersema GS, Buskens CJ, et al. (2016) Emergency laparoscopic sigmoidectomy for perforated diverticulitis with generalised peritonitis: a systematic review. Dig Surg 33:1–7

    Article  PubMed  Google Scholar 

  89. O’Sullivan GC, Murphy D, O’Brien MG, Ireland A (1996) Laparoscopic management of generalized peritonitis due to perforated colonic diverticula. Am J Surg 171:432–434

    Article  PubMed  Google Scholar 

  90. Franklin ME, Portillo G, Treviño JM, Gonzalez JJ, Glass JL (2008) Long-term experience with the laparoscopic approach to perforated diverticulitis plus generalized peritonitis. World J Surg 32:1507–1511

    Article  PubMed  Google Scholar 

  91. Myers E, Hurley M, O’Sullivan GC, et al. (2008) Laparoscopic peritoneal lavage for generalized peritonitis due to perforated diverticulitis. Br J Surg 95:97–101

    Article  CAS  PubMed  Google Scholar 

  92. White SI, Frenkiel B, Martin PJ (2010) A ten-year audit of perforated sigmoid diverticulitis: highlighting the outcomes of laparoscopic lavage. Dis Colon Rectum 53:1537–1541

    Article  PubMed  Google Scholar 

  93. Cirocchi R, Trastulli S, Vettoretto N, et al. (2015) Laparoscopic peritoneal lavage: a definitive treatment for diverticular peritonitis or a “bridge” to elective laparoscopic sigmoidectomy? A systematic review. Medicine (Baltimore) 94:e334

    Article  Google Scholar 

  94. Ponzano C, Hüscher CGS, Overi D (2015) Laparoscopic lavage is feasible and safe for the treatment of perforated diverticulitis with purulent peritonitis: the first results from the randomized controlled trial DILALA. Ann Surg. doi:10.1097/SLA.0000000000001258

  95. Schultz JK, Yaqub S, Wallon C, et al. (2015) Laparoscopic lavage vs primary resection for acute perforated diverticulitis: the SCANDIV randomized clinical trial. JAMA 314:1364–1375

    Article  CAS  PubMed  Google Scholar 

  96. Vennix S, Musters GD, Mulder IM, et al. (2015) Laparoscopic peritoneal lavage or sigmoidectomy for perforated diverticulitis with purulent peritonitis: a multicentre, parallel-group, randomised, open-label trial. Lancet 386:1269–1277

    Article  PubMed  Google Scholar 

  97. Perez JT, Alberti N, Salut C, Frulio N, Trillaud H (2014) Sigmoid diverticulitis with inferior mesenteric vein fistula. Diagn Intervent Imaging 95:321–322

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Body & Interventional Imaging, Hôpital Lariboisière-APHP, 2 rue Ambroise Paré, 75010, Paris, France

    Maxime Barat, Mourad Boudiaf, Raphael Dautry & Youcef Guerrache

  2. UMR INSERM 965, 2 rue Ambroise Paré, 75010, Paris, France

    Anthony Dohan, Marc Pocard, Clarisse Eveno & Philippe Soyer

  3. Department of Oncological Abdominal Surgery, Hôpital Lariboisière-APHP, 2 rue Ambroise Paré, 75010, Paris, France

    Karine Pautrat, Marc Pocard & Clarisse Eveno

  4. Université Paris-Diderot, Sorbonne-Paris Cité, 10 Rue de Verdun, 75010, Paris, France

    Marc Pocard, Clarisse Eveno & Philippe Soyer

  5. Department of Radiology, Hôpital Robert Debré, 11 Boulevard Pasteur, 51092, Reims Cedex, France

    Christine Hoeffel

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  1. Maxime Barat
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Barat, M., Dohan, A., Pautrat, K. et al. Acute colonic diverticulitis: an update on clinical classification and management with MDCT correlation. Abdom Radiol 41, 1842–1850 (2016). https://doi.org/10.1007/s00261-016-0764-1

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