Small bowel injury-trauma grading
Small bowel injuries are graded I-V with increasing severity having higher grading.
- Hematoma or contusion without devascularization
- Small bowel laceration that is partial thickness without perforation
- Small bowel laceration <50% of circumference
- Small bowel laceration with
50% circumference, but with no transection
- Transection of the small bowel
- Small bowel laceration with transection of the small bowel with segmental tissue loss
- Small bowel vascular injury with devascularized segment of small bowel
Note to advance one grade for multiple injuries up to grade III.
Moore EE, et al. Organ injury scaling: pancreas, duodenum, small bowel, colon and rectum. J trauma. 1990;30(11):1427-9.