J Korean Soc Emerg Med.  1997 Mar;8(1):71-78.

SIGNIFICANCE OF CT GRADING IN TRAUMATIC HEPATIC AND SPLENIC INJURY

• Kim HJ
• Chung JY
• Lee CH
• Doh HS
• Lee SB
• Do BS

Abstract

The Organ Injury Scaling Committee of the American Association for the Surgery of Trauma recently published a consensus classification of hepatic and splenic injuries. The hepatic and splenic injury scales, based on parenchymal laceration and intrahepatic hematoma include grade 1 to 6 and grade 1 to 5 respectively, representing the least to most severe injury. Forty-eight patients with hepatic and splenic injury were evaluated by abdominal CT from January 1995 to May 1996 and we compared abdominal CT grading with operative grading. Four CT grades did not correlate with operative finding. CT grading showed a sensitivity of 80%, specificity 80% in regard to operative grading. We conclude that 1) CT is an accurate technique to determine the extent of hepatic and splenic injury. 2) CT grading of hepatic and splenic trauma has a high correlation with operative grading.

Keyword

Organ Injury Scaling Committee; Liver; Spleen

MeSH Terms

Classification
Consensus
Hematoma
Humans
Lacerations
Liver
Sensitivity and Specificity
Spleen
Tomography, X-Ray Computed
Weights and Measures