Table IIISpleen organ injury scale. American Association for the Surgery of Trauma (from Moore EE, Cogbill TH, Jurkovich GJ et al (1990) J Trauma 38 (3): 323–324)

GradeaInjury Descriptionb
IHaematomaSubcapsular, < 10% of surface area
LacerationCapsular tear < 1 cm parenchymal depth
IIHaematomaSubcapsular, 10–50% of surface area
Intraparenchymal, < 5 cm in diameter
Laceration1–3 cm parenchymal depth which does not involve a trabecular vessel
IIIHaematomaSubcapsular, > 50% of surface area, or expanding
Ruptured subcapsular or parenchymal haematoma
LacerationIntraparenchymal haematoma > 5 cm or expanding
IVLacerationLaceration involving segmental or hilar vessels
Producing major devascularisation (> 25% of spleen)
VLacerationMassive disruption of pancreatic head
VascularHilar vascular injury which devascularises spleen
a

Advance one grade for multiple injuries, up to grade III.

b

Based on most accurate assessment at autopsy, laparotomy or radiological study.

From: Pancreatic, splenic and duodenal injuries

Cover of Surgical Treatment
Surgical Treatment: Evidence-Based and Problem-Oriented.
Holzheimer RG, Mannick JA, editors.
Munich: Zuckschwerdt; 2001.
Copyright © 2001, W. Zuckschwerdt Verlag GmbH.

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