AAST Grade 3 injury with a splenic laceration measuring more than 3 cm in depth (TIFF 217 kb) Fig. e5.8 AAST Grade 3 injury with a large subcapsular hematoma involving greater than 50% of the surface area of the spleen (TIFF 202 kb) Fig. e5.9 AAST Grade 4 injury with large splenic ...
a CT scan of the abdomen/pelvis may be done to evaluate potential trauma to the abdomen. At this point if the patient is found to have a splenic laceration it is graded according to the American Association for the Surgery of Trauma splenic injury scale (Table 1). Other factors such as ...
Laceration: capsular tear, 1-3 cm in parenchymal depth, not involving trabecular vessels Grade III Hematoma: subcapsular, >50 % surface area or expanding; ruptured subcapsular or parenchymal hematoma; intraparenchymal hematoma >5 cm or expanding Laceration: >3 cm in parenchymal depth or...
The angiogram demonstrated grade 3 laceration with moderate hemoperitoneum and no active extravasation or evidence of pseudoaneurysm. The patient was admitted and made a prompt recovery without any other sequelae. CONCLUSIONS : The presentation of splenic injury or rupture can vary; the patient may ...
GradeSubcapsular haematomaLaceration I <10% surface area <1 cm parenchymal depth II 10%–50% surface area 1–3 cm parenchymal depth III >50% surface area or expanding >3 cm parenchymal depth IV Major devascularization (>25% of spleen) V Completely shattered spleen In the trauma setting,...
A hematoma (bruise) or lacerations What happens if the spleen capsule ruptures? There will be possible free fluid surrounding the spleen and abdomen What are the clinical findings of splenic rupture? LUQ pain Decreased hematocritHypotension Most splenic cysts may be what? Parasitic What are most ...
Abdominal CT scan of parenchymal splenic laceration without obvious vascular injury at 01:16 am. Full size image Figure 2 Abdominal CT scan of same patient revealing active contrast extravasation at 08:13 am. Full size image Table 1 Characteristics of non-operatively managed patients compared by su...
On the continuum of spleen breakage, a laceration refers to a lower-grade extent of injury, in which just a part of the spleen is damaged. A ruptured spleen is the highest grade of broken spleen injury, according toHealthTap, an online network of doctors who answer health questions. ...
>5-cm depth or expanding; intraparenchymal hematoma, >3 cm or expanding iv laceration involving segmental or hilar vessels producing major devascularization v completely shattered spleen; hilar injury that devascularizes the entire spleen 鈥僡advance 1 grade for multiple injuries up to grade iii. ...