Sartelli Massimo, Moore Frederick A, Ansaloni Luca, Di Saverio Salomone, Coccolini Federico, Griffiths Ewen A, Coimbra Raul, Agresta Ferdinando, Sakakushev Boris, Ordoñez Carlos A, Abu-Zidan Fikri M, Karamarkovic Aleksandar, Augustin Goran, Costa Navarro David, Ulrych Jan, Demetrashvili Zaza, Melo Renato B, Marwah Sanjay, Zachariah Sanoop K, Wani Imtiaz, Shelat Vishal G, Kim Jae Il, McFarlane Michael, Pintar Tadaja, Rems Miran, Bala Miklosh, Ben-Ishay Offir, Gomes Carlos Augusto, Faro Mario Paulo, Pereira Gerson Alves, Catani Marco, Baiocchi Gianluca, Bini Roberto, Anania Gabriele, Negoi Ionut, Kecbaja Zurabs, Omari Abdelkarim H, Cui Yunfeng, Kenig Jakub, Sato Norio, Vereczkei Andras, Skrovina Matej, Das Koray, Bellanova Giovanni, Di Carlo Isidoro, Segovia Lohse Helmut A, Kong Victor, Kok Kenneth Y, Massalou Damien, Smirnov Dmitry, Gachabayov Mahir, Gkiokas Georgios, Marinis Athanasios, Spyropoulos Charalampos, Nikolopoulos Ioannis, Bouliaris Konstantinos, Tepp Jaan, Lohsiriwat Varut, Çolak Elif, Isik Arda, Rios-Cruz Daniel, Soto Rodolfo, Abbas Ashraf, Tranà Cristian, Caproli Emanuele, Soldatenkova Darija, Corcione Francesco, Piazza Diego, Catena Fausto
Department of Surgery, Macerata Hospital, Macerata, Italy.
Department of Surgery, University of Florida, Gainesville, FL USA.
World J Emerg Surg. 2015 Feb 19;10:3. doi: 10.1186/1749-7922-10-3. eCollection 2015.
Computed tomography (CT) imaging is the most appropriate diagnostic tool to confirm suspected left colonic diverticulitis. However, the utility of CT imaging goes beyond accurate diagnosis of diverticulitis; the grade of severity on CT imaging may drive treatment planning of patients presenting with acute diverticulitis. The appropriate management of left colon acute diverticulitis remains still debated because of the vast spectrum of clinical presentations and different approaches to treatment proposed. The authors present a new simple classification system based on both CT scan results driving decisions making management of acute diverticulitis that may be universally accepted for day to day practice.
计算机断层扫描（CT）成像是确诊疑似左结肠憩室炎最合适的诊断工具。然而，CT成像的作用不仅限于对憩室炎进行准确诊断；CT成像的严重程度分级可能会推动急性憩室炎患者的治疗规划。由于临床表现范围广泛以及提出的治疗方法不同，左结肠急性憩室炎的恰当管理仍存在争议。作者提出了一种新的简单分类系统，该系统基于CT扫描结果来推动急性憩室炎的决策管理，这一系统可能会在日常实践中得到普遍认可。
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