Colon injury-trauma grading

Colon injuries are graded I-V with increasing severity having higher grading.

Grade I

• Hematoma or contusion without devascularization
• Colon laceration that is partial thickness without perforation

Grade II

• Colon laceration <50% of circumference

Grade III

• Colon laceration with 50% circumference, but with no transection

Grade IV

• Transection of the colon

Grade V

• Colon laceration with transection of the colon with segmental tissue loss

Note to advance one grade for multiple injuries up to grade III.

References

Moore EE, et al. Organ injury scaling: pancreas, duodenum, small bowel, colon and rectum. J trauma. 1990;30(11):1427-9.

[Outline]

• Information
• Grade I
• Grade II
• Grade III
• Grade IV
• Grade V
• References