What is a grade 4 injury?
Grade 4: Laceration involving the collecting system with urinary extravasation; any segmental renal vascular injury; renal infarction; renal pelvis laceration and/or ureteropelvic disruption. Grade 5: Shattered or devascularized kidney with active bleeding; main renal vascular laceration or avulsion.
What is a Grade 3 laceration?
A grade III laceration is characterized by a laceration that is > 3 cm of parenchymal depth, a subcapsular hematoma that is > 50% surface area of ruptured subcapsular or parenchymal hematoma, and an intraparenchymal hematoma that is > 10 cm or expanding.
What is a shattered kidney?
The first of these, a shattered kidney, essentially describes the extreme of multiple renal lacerations, often with devitalized areas due to infarction, and urinary extravasation resulting from injuries to the collecting system, as shown in the images below. Kidney trauma. Grade 5 renal injury. Shattered kidney.
What grade are renal cortical lacerations greater than 1 cm in depth without urinary extravasation?
Grade III injuries include renal lacerations greater than 1 cm, but without the collecting system involvement [1], (Figures 5 and 6). Male, 16-year-old, road traffic accident. Major renal laceration through the cortex extending to the medulla without involvement of the collecting system.
What is a Grade 4 kidney injury?
What is a grade 4 liver laceration?
Grade IV: laceration: parenchymal disruption involving 25-75% hepatic lobe or 1-3 Couinaud segments. Grade V: laceration: parenchymal disruption involving >75% of hepatic lobe or >3 Couinaud segments within a single lobe; vascular: juxtahepatic venous injuries (ie, retrohepatic vena cava/central major hepatic veins).
What is a Grade 3 spleen injury?
Grade 3 is hematoma of more than 50% of the subcapsular surface area or if the hematoma is known to be expanding over time, if the hematoma has ruptured, intraparenchymal hematoma either more than 5 cm or known to be expanding, or capsule laceration more than 3 cm in depth and/or involving a trabecular blood vessel.
Is a Grade 3 spleen laceration major?
There are five grades of splenic injury (Fig….Spleen Injury Grading.
| Grade | Type | Description |
|---|---|---|
| Laceration | >3 cm parenchymal depth or trabecular vessel involvement | |
| IV | Laceration | Involving segmental or hilar vessels and major devascularization (>25% spleen) |
| V | Laceration | Shattered spleen |
| Vascular | Hilar injury devascularizing spleen |
How do I know if I bruised my kidney?
The common symptom associated with a bruised kidney is pain, specifically on the sides of the abdomen and in the flank area. This is the region between the lower rib cage and upper hip. Other symptoms include: dull ache.