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Organ Injury Scaling
Liver
| Grade
|
Injury Description |
AIS-90
|
| I |
Haematoma |
Subcapsular,
<10% surface area |
2 |
| |
Laceration |
Capsular tear,
<1cm parenchymal depth |
2 |
| |
|
|
| II |
Haematoma |
Subcapsular,
10-50% surface area |
2 |
| |
|
Intraparenchymal,
<10cm diameter |
2 |
| |
Laceration |
1-3cm parenchymal
depth, <10cm length |
2 |
| |
|
|
| III |
Haematoma |
Subcapsular,
>50% surface area or expanding. Ruptured subcapsular or parenchymal
haematoma |
3 |
| |
|
Intraparencymal
haematoma >10cm or expanding |
3 |
| |
Laceration |
>3cm parenchymal
depth |
3 |
| |
|
|
| IV |
Laceration |
Parenchymal
disruption involving 25-75% of hepatic lobe or 1-3 Coinaud's
segments in a single lobe |
4 |
| |
|
|
| V |
Laceration |
Parenchymal
disruption involving >75% of hepatic lobe or >3 Coinaud's segments
within a single lobe |
5 |
| |
Vascular |
Juxtahepatic
venous injuries ie. retrohepatic vena cava/central major hepatic
veins |
5 |
| |
|
|
| VI |
Vascular |
Hepatic Avulsion
|
6 |
| |
|
|
| Advance
one grade for multiple injuries to same organ up to Grade III.
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