Duodenal Laceration Grading

Grade 1
  • hematoma of one segment
  • laceration without perforation
Grade 2
  • hematoma in multiple segments
  • laceration of < 50% of circumference
Grade 3
  • laceration of 50-75% of 2nd portion
  • laceration of >50% of 1st, 3rd, 4th portion
Grade 4
  • laceration of >75% of 2nd portion (ampulla)
Grade 5
  • devascularized duodenum