Traumatic injury to the small bowel can be graded using the Small Bowel Injury Scale.
Type of Injury
Extent
Grade
hematoma or contusion
without devascularization
I
laceration
partial thickness of wall without perforation
< 50% of circumference
II
>= 50% of circumference but not transected
III
transection
IV
transection with segmental tissue loss
V
devascularized segment
If there are multiple injuries, then the final grade is increased by 1 up to Grade III.
where:
• I am assuming Grade II can be raised to Grade III but not Grade III to Grade IV.
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Specialty: Surgery, orthopedic, Emergency Medicine, Critical Care, Surgery, general, Gastroenterology
ICD-10: ,
