What are the grades of splenic injury?
Spleen trauma is graded from 1 to 5 in increasing order of severity. Grade 1 is less than 10% of surface area involved in hematoma or capsule laceration less than 1 cm. Grade 2 is hematoma 10 to 50% of surface or capsule laceration 1 to 3 cm in depth.
How serious 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.
Which grade of splenic injury is best managed with surgery?
Blunt trauma. NOM is considered the gold standard for the treatment of patients with blunt splenic trauma (BST) who are hemodynamically stable after an initial resuscitation, in the absence of peritonitis and associated injuries requiring laparotomy [15, 25,26,27,28].
What is Grade 2 spleen laceration?
Generally, grades I and II are considered as minor injuries, grade III as a moderate injury, and grades IV and V as severe injuries (Figs. 2–6). Spleen Injury Grading. Figure 1.
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.
What is a Grade 3 renal laceration?
Grade 3: Laceration > 1 cm without urine leakage. In this grade a small blood collection occurs around the kidney which over time can heal on its own and not require any surgery.
Is Grade 5 spleen laceration major?
The severity of splenic injury can objectively be described with a grading system developed by the American Association for the Surgery of Trauma [1]….Spleen Injury Grading.
| Grade | Type | Description |
|---|---|---|
| IV | Laceration | Involving segmental or hilar vessels and major devascularization (>25% spleen) |
| V | Laceration | Shattered spleen |
What is a grade 4 liver laceration?
Grade IV: laceration: parenchymal disruption involving 25-75% hepatic lobe or 1-3 Couinaud segments. Grade V: laceration: parenchymal disruption involving >75% of hepatic lobe or >3 Couinaud segments within a single lobe; vascular: juxtahepatic venous injuries (ie, retrohepatic vena cava/central major hepatic veins).
What is the ICD 10 code for spleen laceration?
S36.032A
Major laceration of spleen, initial encounter S36. 032A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
What is a Grade 1 splenic laceration?
Grade 1 includes capsular avulsion, superficial laceration, and subcapsular hematoma smaller than 1 cm (Fig. 16.1); Grade 2 includes parenchymal lesions from 1 to 3 cm, or parenchymal and subcapsular hematoma smaller than 3 cm (Fig. 16.2); Grade 3 defines splenic laceration deep more than 3 cm (Fig. 16.3); at least
What is the AAST splenic injury scale?
The 1994 revision of the American Association for the Surgery of Trauma (AAST) splenic injury scale is the most widely used grading system for splenic trauma at the time of writing (late 2016). grade I subcapsular haematoma <10% of surface area. capsular laceration <1 cm depth. grade II subcapsular haematoma 10-50% of surface area.
What are the different types of splenic injuries?
Several types of splenic injury can occur: intraparenchymal and subcapsular hematoma, contusion, laceration, active extravasation, and contained vascular injury [ 25 ].
What is a Grade 2 spleen trauma?
Spleen trauma is graded from 1 to 5 in increasing order of severity. Grade 1 is less than 10% of surface area involved in hematoma or capsule laceration less than 1 cm. Grade 2 is hematoma 10 to 50% of surface or capsule laceration 1 to 3 cm in depth.