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. 2017 Jun 9;2(1):e000075. doi: 10.1136/tsaco-2017-000075

Table 1.

Adaptation of AAST Organ Injury Scale for Spleen

Grade Injury type Description of injury
I Hematoma
Laceration
Subcapsular, <10% surface area
Capsular tear, <1 cm parenchymal depth
II Hematoma Subcapsular, 10% to 50% surface area
Intraparenchymal, <5 cm in diameter
Laceration Capsular tear, 1 cm to 3 cm parenchymal depth that does not involve a trabecular vessel
III Hematoma
Laceration
Subcapsular, >50% surface are or expanding: ruptured subcapsular or parenchymal hematoma: intraparenchymal hematoma_>5 cm or expanding
3 cm parenchymal depth or involving trabecular vessels
IV Laceration Laceration involving segmental or hilar vessels producing major devascularization (>25% of spleen)
V Laceration
Vascular
Completely shattered spleen
Hilar vascular injury with devascularizes spleen

Adapted from American Association for the Surgery of Trauma organ injury scale for spleen.