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Spleen Injury See ATOMAC Guideline |
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| Grade | Injury Type | Description of Injury | Activity Restriction | |||||
| I | Hematoma | Subcapsular, < 10% surface area |
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3 weeks |
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| Laceration | Capsular tear, < 1cm parenchymal depth | |||||||
| II | Hematoma | Subcapsular, 10-50% surface area intraparenchymal, < 5cm in diameter |
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4 weeks |
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| Laceration | Capsular tear, 1-3 cm parnchymal depth that does not involve a trabecular vessel | |||||||
| III | Hematoma | Subcapsular, >50% surface area or expanding; ruptured subcapsular or parnchymal hematoma; intraparenchmal hematoma > or = 5cm or expanding |
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5 weeks |
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| Laceration | >3 cm parenchymal depth or involving trabecular vessels | |||||||
| IV | Laceration | Laceration involving segmental or hilar vessels producing major devascularization (>25% of spleen) |
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6 weeks |
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| V | Shattered
Vascular |
Completely shattered spleen
Hilar Injury which devascularizes spleen |
7 weeks | |||||