Pancreas Injury Scale | Medicalalgorithms.com

Traumatic injury to the pancreas can be graded using the Pancreatic Injury Scale.

Type of Injury	Involvement	Grade
hematoma	minor contusion without duct injury	I
	major contusion without duct injury or tissue loss	II
laceration	superficial laceration without duct injury	I
	major laceration without duct injury or tissue loss	II
	distal transection	III
	distal parenchymal injury with duct injury	III
	proximal transection	IV
	proximal parenchymal injury involving the Ampulla	IV
	massive disruption of the pancreatic head	V

If multiple injuries are present, increase the grade by 1 up to Grade III.

where:

• I am assuming that a Grade II lesion can be upgraded to Grade III, but not Grade III to Grade IV (see Testis Injury Scale).

NOTE: I would have expected there to be an entry for major contusion with duct injury or tissue loss.

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