Grade 2 splenic injury
Diagnosis certain
Updates to Case Attributes
Body
was changed:
It is important to pick up a splenic trauma, because the spleen is highly vascularized, and an injury to its parenchyma or vasculature can result in significant blood loss.
AcknowledgementAAST Splenic Injury Scale:
AAST scale I:
- Subcapsular hematoma <10% surface area.
- Parenchymal laceration <1 cm depth.
- Capsular tear.
AAST scale II:
- Subcapsular hematoma 10-50% surface area; intraparenchymal hematoma <5 cm.
- Parenchymal laceration 1-3 cm.
AAST scale III:
- Subcapsular hematoma >50% surface area; ruptured subcapsular or intraparenchymal hematoma ≥5 cm.
- Parenchymal laceration >3 cm depth.
AAST scale IV:
- Any injury in the presence of a splenic vascular injury or active bleeding confined within splenic capsule.
- Parenchymal laceration involving segmental or hilar vessels producing >25% devascularization.
AAST scale V:
- Any injury in the presence of a splenic vascular injury with active bleeding extended beyond the spleen into the peritoneum.
- Shattered spleen.
*Obtained from the The American Association for the Surgery of Trauma website
acknowledgment: Dr. MariaMary Tsatoumas
-<p>It is important to pick up a splenic trauma, because the spleen is highly vascularized, and an injury to its parenchyma or vasculature can result in significant blood loss.</p><p> </p><p>Acknowledgement: Dr. Maria Tsatoumas</p>- +<p>It is important to pick up a splenic trauma, because the spleen is highly vascularized, and an injury to its parenchyma or vasculature can result in significant blood loss.</p><p> </p><p>AAST Splenic Injury Scale:</p><p>AAST scale I:</p><ul>
- +<li>Subcapsular hematoma <10% surface area.</li>
- +<li> Parenchymal laceration <1 cm depth.</li>
- +<li> Capsular tear.</li>
- +</ul><p>AAST scale II:</p><ul>
- +<li>Subcapsular hematoma 10-50% surface area; intraparenchymal hematoma <5 cm.</li>
- +<li>Parenchymal laceration 1-3 cm.</li>
- +</ul><p>AAST scale III:</p><ul>
- +<li>Subcapsular hematoma >50% surface area; ruptured subcapsular or intraparenchymal hematoma ≥5 cm.</li>
- +<li>Parenchymal laceration >3 cm depth.</li>
- +</ul><p>AAST scale IV:</p><ul>
- +<li>Any injury in the presence of a splenic vascular injury or active bleeding confined within splenic capsule.</li>
- +<li>Parenchymal laceration involving segmental or hilar vessels producing >25% devascularization.</li>
- +</ul><p>AAST scale V:</p><ul>
- +<li>Any injury in the presence of a splenic vascular injury with active bleeding extended beyond the spleen into the peritoneum.</li>
- +<li>Shattered spleen.</li>
- +</ul><p> </p><p> </p><p>*Obtained from the The American Association for the Surgery of Trauma website</p><p> </p><p>acknowledgment: Dr. Mary Tsatoumas </p>
References changed:
- 1. Moore E, Moore CT, Moore JG, Moore SS, Moore MM, Moore CH, Moore. Organ injury scaling: spleen and liver (1994 revision). (1995) The Journal of trauma. <a href="https://doi.org/10.1097/00005373-199503000-00001">doi:10.1097/00005373-199503000-00001</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/7897707">Pubmed</a> <span class="ref_v4"></span>