What are the grades of spleen laceration?
Spleen Injury Grading
| Grade | Type | Description |
|---|---|---|
| Laceration | Capsular tear, <1 cm parenchymal depth | |
| II | Hematoma | Subcapsular, 10–50%, SA; intraparenchymal <5 cm diameter |
| Laceration | 1–3 cm parenchymal; no trabecular vessel involvement | |
| III | Hematoma | Subcapsular, >50% SA or expanding; ruptured subcapsular or parenchymal hematoma |
Does a spleen laceration require surgery?
Treatment for a ruptured spleen will depend on the severity of your condition. Some people require immediate surgery. Others heal with rest and time. Many small or moderate-sized injuries to the spleen can heal without surgery.
What is a Grade 5 spleen laceration?
Grade 5: This is an extremely severe tear that lacerates certain blood vessels and causes a total loss of blood supply to the organ. This stage can also mean that a hematoma has completely shattered the spleen.
How long does it take to recover from a lacerated spleen?
Generally, recovery from a ruptured spleen can take anywhere from 3 to 12 weeks, depending on the severity and treatment. To promote healing, rest is encouraged, along with refraining from high-impact exercise, strenuous activities, and heavy lifting until physician approval.
What is a Grade 3 spleen laceration?
Grade 3: This mid-stage rupture is a tear more than 3 cm deep. It can also involve the splenic artery or a hematoma that covers over half of the surface area. A grade 3 rupture can also mean that a hematoma is present in the organ tissue that is greater than 5 cm or expanding.
What is a Grade 3 laceration?
A grade III laceration is characterized by a laceration that is > 3 cm of parenchymal depth, a subcapsular hematoma that is > 50% surface area of ruptured subcapsular or parenchymal hematoma, and an intraparenchymal hematoma that is > 10 cm or expanding.
How long does a lacerated spleen take to heal?
Why is a spleen injury potentially life-threatening?
A ruptured spleen is a medical emergency that occurs as a result of a break in your spleen’s surface. Your spleen, situated just under your rib cage on your left side, helps your body fight infection and filter old blood cells from your bloodstream.
Is a lacerated spleen serious?
A ruptured spleen occurs when the surface of this organ is injured, which can lead to internal bleeding. A ruptured spleen can potentially be life-threatening if it is not treated quickly.
What makes a Grade IV spleen injury Grade IV?
grade IV any injury in the presence of a splenic vascular injury* or active bleeding confined within splenic capsule parenchymal laceration involving segmental or hilar vessels producing >25% devascularisation
When to use the splenic laceration grading calculator?
The Splenic laceration grading calculator provides the injury grade which is then used alongside with the severity of other injuries in planning the intraoperative management and whether there is need for a transfusion protocol to be put in place as well. The grading depends on the extent and depth of the splenic hematoma and
What are the exclusionary criteria for splenic injury?
Although many of the developed pathways and institutional protocols that address NOM of splenic injury include contraindications such as age ranges, splenic grades, transfusion triggers and quantities, the remainder of exclusionary criteria are more individualized than strict convention.
Which is the most commonly used splenic injury scale?
The American Association for the Surgery of Trauma (AAST) splenic injury scale, most recently revised in 2018, is currently the most widely used grading system for splenic trauma. The 2018 update incorporates “vascular injury” (i.e. pseudoaneurysm, arteriovenous fistula) into the imaging criteria for visceral injury 4. Article: