Observational Study
Copyright ©The Author(s) 2017.
World J Radiol. Feb 28, 2017; 9(2): 85-90
Published online Feb 28, 2017. doi: 10.4329/wjr.v9.i2.85
Table 4 Grading computed tomography of gastric blunt traumatic injuries
PathologyCT signsTreatment
Grade 1Gastric contusionGastric wall thickening No peritoneal fluid Perigastric pneumatosisNo surgery
Grade 2Minor lacerations involving the mucosal sideHigh-attenuation hematoma confined to the inner side, blood in the gastric lumen Small amount of non-bloody peritoneal fluidFollow-up
Grade 3Partial laceration with parietal hematoma and/or stretching of the external layerPeritoneal hematoma collection, gastric wall thickening with high-attenuation of the external sideClose follow-up/ surgery
Grade 4Full thickness rupture Vascular involvement (necrosis or active bleeding)Extraluminal air Luminal content extravasation Contrast material extravasationEmergency surgery