Table 2. Liver injury classification by the American Association for the Surgery of Trauma.
Grade | Type of Injury | Description of Injury |
I | Hematoma Laceration | Subcapsular, <10% surface area Capsular tear, <1cm parenchymal depth |
II | Hematoma Laceration | Subcapsular, 10%-50% surface area Intraparenchymal <10 cm diameter Capsular tear 1-3 cm parenchymal depth, <10 cm length |
III | Hematoma Laceration | Subcapsular, >50% surface area of ruptured subcapsular or parenchymal hematoma Intraparenchymal >10 cm Capsular tear >3 cm parenchymal depth |
IV | Laceration | Parenchymal disruption involving 25%-75% hepatic lobe or involves 1-3 Couinaud segments |
V | Laceration Vascular | Parenchymal disruption involving >75% of hepatic lobe Juxtahepatic venous injuries (retrohepatic vena cava / central major hepatic veins) |
VI | Vascular | Hepatic Avulsion |