Splenic Laceration Grading

Grade 1
  • Capsular laceration < 1cm deep
  • Subcapsular hematoma < 10% of splene
Grade 2
  • capsular tear 1-3cm deep
  • subcapsular hematoma 10-50% of splene
  • intraparenchymal hematoma < 5cm diameter
Grade 3
  • laceration > 3cm deep
  • ruptured subcapsular hematoma or >50%
  • intraparenchymal hematoma > 5cm or with blush
Grade 4
  • laceration of hilar vessels
Grade 5
  • shattered, devascularized splene