Table 1

Adaptation of AAST Organ Injury Scale for Spleen

Grade Injury typeDescription of injury
IHematoma
Laceration
Subcapsular, <10% surface area
Capsular tear, <1 cm parenchymal depth
IIHematomaSubcapsular, 10% to 50% surface area
Intraparenchymal, <5 cm in diameter
LacerationCapsular tear, 1 cm to 3 cm parenchymal depth that does not involve a trabecular vessel
IIIHematoma
Laceration 
Subcapsular, >50% surface are or expanding: ruptured subcapsular or parenchymal hematoma: intraparenchymal hematoma_>5 cm or expanding
3 cm parenchymal depth or involving trabecular vessels
IVLacerationLaceration involving segmental or hilar vessels producing major devascularization (>25% of spleen)
VLaceration
Vascular
Completely shattered spleen
Hilar vascular injury with devascularizes spleen 
  • Adapted from American Association for the Surgery of Trauma organ injury scale for spleen.