Trauma-Spleen

* Updated 2018 Injury Score Scale                                        * Links to other Score Scales:     Liver     Spleen     Kidney     Pancreas  

Additional points

• Advance one grade for multiple injuries up to grade III

• "vascular injury" (i.e. pseudoaneurysm or AV fistula) - appears as a focal collection of vascular contrast which decreases in attenuation on delayed images

• "active bleeding" - focal or diffuse collection of vascular contrast which increases in size or attenuation on a delayed phase

• The AAST guidelines recommend dual arterial/portal venous phase imaging for evaluation of a vascular injury of liver, spleen, or kidney.

Radiopaedia Figures (click to open in new tab)

* Case courtesy of Dr Faeze Salahshour, Radiopaedia.org. From the case rID: 2074