Hepatic trauma
Publication date: July 25, 2012 | Updated on July 25, 2012
Report
Diagnosis
Hepatic trauma
History
Grade I
Hematoma :Subcapsular, nonexpanding, <10% surface area
Laceration: Capsular tear, nonbleeding, <1cm parenchymal depth
Grade II
Hematoma: Subcapsular, nonexpanding, 10-50% surface area - Intraparenchymal, <2cm diameter, nonexpanding
Laceration: Capsular tear, active bleeding, 1-3cm parenchymal depth
Grade III
Hematoma: Subcapsular, >50% surface area or expanding - Ruptured subcapsular hematoma with active bleeding - Intraparenchymal, >2cm diameter or expanding
Laceration : > 3 cm parenchymal depth
Grade IV
Hematoma: Ruptured intraparenchymal hematoma with active bleeding
Laceration: Involving segmental or hilar vessels producing devascularization >25%
Grade V
Laceration: Shattered spleen
Vascular: Hilar vascular injury that devascularizes spleen
! Advance one grade for multiple injuries to same organ up to grade III