Home > Abdomen > Splenic injury was graded according to the different damage of surface area, Lac-capsular tear, intraparenchymal and involving trabecular vessels.

Splenic injury was graded according to the different damage of surface area, Lac-capsular tear, intraparenchymal and involving trabecular vessels.

Now that abdominal ultrasound is the main choice of screening modalities to detect solid injuries in general. Take splenic fracture for example, we often found fluid inside abdominal space ( Morison’s pouch) as a truthful sign. According to AAST which is known as American Association for the Surgery of Trauma, there are 5 levels of splenic injury grading from I to V. However in practice, most surgeons tend to manage the patients symptomatically regardless of the grade.

Nonetheless, the Grades are as follows:
I- Hematoma – subcapsular <25% surface area, Lac-capsular tear, <1cm depth.
II-Hematoma- subcapsular 25-50% surface area, intraparenchymal 50% surface area. Intraparenchymal >10cm expanding. Lac- >3m involving trabecular vessels.
IV-Lac – involving segmental/hilar vessels with devascularization of >25%.
V- Lac- Shattered spleen. Vascular – Total splenic devascularization.

A young man who arrived at Thu Duc hospital because of blunt injury ( after fighting with another man). He was checked on abdominal ultrasound scan with hypoechoic fluid in his abdomen and splenic injury. On ct scan, he has same finding for splenic fracture with grades III because he has a laceration more than 30mm in depth.

Pages: 1 2

Categories: Abdomen
  1. No comments yet.
  1. No trackbacks yet.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: