Pancreatic trauma injury grading

A number of pancreatic injury grading systems have been proposed.


American Association for the Surgery of Trauma (AAST)
  • grade 1: hematoma with minor contusion/laceration but without duct injury
  • grade 2: major contusion/laceration but without duct injury
  • grade 3: distal laceration or parenchymal injury with duct injury
  • grade 4: proximal (i.e. to the right of the superior mesenteric vein) laceration or parenchymal injury with an injury to bile duct/ampulla
  • grade 5: massive disruption of the pancreatic head

N.b. advance one grade for multiple injuries up to grade III.

Wong et al. 3

A more simple method for grading severity on CT in pancreatic injury proposed by Wong et al. 3 is:

  • grade A: pancreatitis or superficial laceration only
  • grade B
    • BI: deep laceration involving pancreatic tail
    • BII: complete transection of pancreatic tail
  • grade C
    • CI: deep laceration involving pancreatic head
    • CII: complete transection of pancreatic head

See also

Pancreatic pathology

Article information

rID: 10014
Synonyms or Alternate Spellings:
  • Pancreatic trauma grading
  • Grading of pancreatic trauma
  • Grading of pancreatic injury

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Cases and figures

  • Fig 1: grade 1
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  • Case 1: AAST grade 3
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  • Fig 2: grade 2
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  • Fig 3: grade 3
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  • Fig 4: grade 4
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  • Fig 5: grade 5
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