Table 2 Classification of duodenal injury [3]
From: Diagnosis and treatment of traumatic duodenal rupture in children
Grades | Injury description |
|---|---|
I | Hematoma: involving one part of the duodenum |
Laceration: partial thickening of the intestinal wall without perforation | |
II | Hematoma: involving more than one part of the duodenum |
Laceration: < 50% of the circumference | |
III | Laceration: 50–70% of the circumference of D2 and/or |
50–100% of the circumference of D1, D3, D4 | |
IV | Laceration: > 75% circumference of D2 |
Involvement of the ampulla or distal common bile duct | |
V | Laceration: complete rupture of the pancreaticoduodenum |
Blood vessels: decreased blood supply to the duodenum |