Splenic injuries
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