Splenic injuries

By
  • Dr Antoine Micheau

Publication date: July 25, 2012 | Updated on September 11, 2020

Report

Diagnosis

Splenic injuries

History

AAST Spleen Injury Scale 2018 revision

grade I

  • subcapsular hematoma <10% of surface area
  • parenchymal laceration <1 cm depth
  • capsular tear

grade II

  • subcapsular hematoma 10-50% of surface area
  • intraparenchymal hematoma <5 cm
  • parenchymal laceration 1-3 cm in depth

grade III

  • subcapsular hematoma >50% of surface area
  • ruptured subcapsular or intraparenchymal hematoma ≥5 cm
  • parenchymal laceration >3 cm in depth

grade IV

  • any injury in the presence of a splenic vascular injury or active bleeding confined within splenic capsule
  • parenchymal laceration involving segmental or hilar vessels producing >25% devascularisation

grade V

  • shattered spleen
  • any injury in the presence of splenic vascular injury with active bleeding extending beyond the spleen into the peritoneum