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Advanced Technical IVT

grade V splenic injury

The most severe classification of splenic trauma involving complete organ disruption.

Full Definition

Grade V splenic injury represents the highest level of splenic trauma in the American Association for the Surgery of Trauma (AAST) organ injury scale. This classification indicates complete splenic disruption or devascularization of the spleen, typically requiring immediate surgical intervention. Grade V injuries involve either shattered spleen, devascularization, or hilar injury with associated parenchymal destruction. These injuries carry high morbidity and mortality and almost invariably require splenectomy or complex surgical repair.

Usage

Usage note: Always use Roman numerals for organ injury grades (I-V). Ensure proper capitalization of 'Grade'.

In Context

  • "Imaging revealed a grade V splenic injury requiring emergent splenectomy." — Radiology report
  • "The patient sustained a grade V splenic injury with complete organ disruption." — Trauma surgery consultation

Also known as

complete splenic disruption splenic destruction

Contrasted with

grade I splenic injury minor splenic laceration

Don't confuse with

grade IV splenic injury splenic rupture

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