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

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


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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