Patient (condition)
 
Aliases:
Ruptured spleen

Topic aliases are alternate phrasings for a particular topic.


The AAST criteria for hematoma and laceration for splenic injury:

Grade I — Hematoma: subcapsular, <10 percent of surface area.
Laceration: capsular tear <1 cm in depth into the parenchyma .

Grade II — Hematoma: subcapsular, 10 to 50 percent of surface area.
Laceration: capsular tear, 1 to 3 cm in depth, but not involving a trabecular vessel.

Grade III — Hematoma: subcapsular, >50 percent of surface area OR expanding, ruptured subcapsular or parenchymal hematoma OR intraparenchymal hematoma >5 cm or expanding.
Laceration: >3 cm in depth or involving a trabecular vessel.

Grade IV — Laceration involving segmental or hilar vessels with major devascularization (ie, >25 percent of spleen).

Grade V — Hematoma: shattered spleen.
Laceration: hilar vascular injury which devascularizes spleen.

www.aast.org/Library/Trau...

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