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Table 1 AAST organ injury scale – liver injury

From: Liver trauma: WSES position paper

Grade

Injury type

Injury description

I

Haematoma

Subcapsular < 10 % surface

 

Laceration

Capsular tear < 1 cm parenchymal depth

II

Haematoma

Subcapsular 10–50 % surface area; intraparenchymal, < 10 cm diameter

 

Laceration

1–3 cm parenchymal depth, < 10 cm in length

III

Haematoma

Subcapsular > 50 % surface area or expanding, ruptured subcapsular or parenchymal haematoma. Intraparenchymal haematoma > 10 cm

 

Laceration

> 3 cm parenchymal depth

IV

Laceration

Parenchymal disruption 25–75 % of hepatic lobe

V

Laceration

Parenchymal disruption involving > 75 % of hepatic lobe

 

Vascular

Juxtavenous hepatic injuries i.e., retrohepatic vena cav/central major hepatic veins

VI

Vascular

Hepatic avulsion

  1. Advance one grade for multiple injuries up to grade III
  2. AAST liver injury scale (1994 revision)