How are splenic injuries classified?
In accordance with the American Association for Surgery of Trauma (AAST)
How would you classify this injury?
The intra-parenchymal haematoma/laceration extends >5 cm/>3 cm respectively hence in keeping with a grade III injury.
There is an intraparenchymal haematoma/laceration measuring > 5 cm which extends to the splenic hilum. Further splenic laceration noted inferiorly. Trace of perisplenic haematoma and free fluid in the pelvis. The overall appearances are in keeping with a grade 3 splenic injury in accordance with the American Association for the Surgery of Trauma (AAST) splenic injury grading.
No bone fractures or injury to other organs. Chest was clear.