Table IPancreatic organ injury scale. American Association for the Surgery of Trauma (from Moore EE, Cogbill TH, Malangoni MA et al (1990) J Trauma 30: 1427–1429)

GradeaInjury descriptionb
IHaematomaMinor contusion without ductal injury
LacerationSuperficial laceration without ductal injury
IIHaematomaMajor contusion without duct injury or tissue loss
LacerationMajor laceration without duct injury or tissue loss
IIILacerationDistal transection or parenchymal injury with duct injury
IVLacerationProximal (to right of superior mesenteric vein) transection or parenchymal injury, not involving ampulla
VLacerationMassive disruption of pancreatic head
a

Advance one grade for multiple injuries to the same organ.

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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