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. 2022 Feb 9;14(2):e22058. doi: 10.7759/cureus.22058

Table 2. Liver injury classification by the American Association for the Surgery of Trauma.

Adapted from [12].

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