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Table 1 American Association for the Surgery of Trauma (AAST) classification of renal trauma

From: MDCT of blunt renal trauma: imaging findings and therapeutic implications

Grade

Type

Description

I

Parenchyma

Haematoma

Microscopic or gross haematuria with normal urologic studies (contusion)

Non-expanding subcapsular haematoma

II

Parenchyma

Haematoma

Laceration <1 cm in depth, without collecting system rupture

Non-expanding perirenal haematoma confined to retroperitoneum

III

Parenchyma

Laceration >1 cm in depth without collecting system rupture

IV

Parenchyma

Vascular

Laceration with collecting system rupture

Main renal artery/vein injury with contained haemorrhage

V

Parenchyma

Vascular

Shattered kidney

Avulsion of renal hilum that devascularises kidney