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The Hinchey classification – proposed by Hinchey et al. in 1978 [1] classifies a colonic perforation due to diverticular disease. The classification is I–IV: Hinchey I – localised abscess (para-colonic) Hinchey II – pelvic abscess; Hinchey III – purulent peritonitis (the presence of pus in the abdominal cavity)
Diverticulitis, also called colonic diverticulitis, is a gastrointestinal disease characterized by inflammation of abnormal pouches—diverticula—that can develop in the wall of the large intestine. [1] Symptoms typically include lower abdominal pain of sudden onset, but the onset may also occur over a few days. [1]
Diverticular disease is when problems occur due to diverticulosis, a benign condition defined by the formation of pouches (diverticula) from weak spots in the wall of the large intestine. [1] This disease spectrum includes diverticulitis , symptomatic uncomplicated diverticular disease (SUDD), and segmental colitis associated with ...
Fecal calprotectin, a marker of colon inflammation, may be elevated. Computed tomography of the abdomen is not routinely necessary, but may show thickening or inflammation in the distal colon (sigmoid colon) with associated diverticulosis. Treatment may consist of antibiotics, aminosalicylates (mesalamine), or prednisone. In rare cases, surgery ...
Influenza is surging in the U.S., with doctor visits for flu symptoms at a 15-year high. Why is this flu season so bad? Doctors discuss flu trends and prevention.
When a nosebleed hits, we often go into panic mode. We frantically reach for tissues and may try shoving them up in our nostrils in an effort to plug the leak.
Pelvic abscess typically occurs following gynecological surgery and abdominal surgery; hysterectomy, laparotomy, caesarian section, and induced abortion. [1] It may occur as a complication of pelvic inflammatory disease (PID), appendicitis, diverticulitis, inflammatory bowel disease (IBD), trauma, pelvic organ cancer, or lower genital tract ...
George Clooney had some pointed remarks about the Donald Trump administration, describing the current political climate as one where people “don’t worry about facts.” “You take a narrative ...