Case challenge · General surgery / Gastroenterology / Emergency · teaching

Acute Diverticulitis — Management Pathway · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on WSES 2020

Case #1General surgery / Gastroenterology / Emergency

📋 Case data

CT gradeUncomplicated (Hinchey 0), stable

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · CT grade

CT grade — complicated or uncomplicated (modified Hinchey)?

💡 Acute left-colonic diverticulitis, 75% uncomplicated. Contrast CT is the first-line diagnostic + grading test (clinical accuracy is low; it also excludes colon cancer, etc.). Modified Hinchey: 0 uncomplicated; Ia confined phlegmon; Ib pericolic/mesenteric abscess; II pelvic/abdominal abscess; III diffuse purulent peritonitis; IV diffuse feculent peritonitis.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.