• Nima Kokabi, Waqas Shuaib, Minzhi Xing, Elie Harmouche, Kenneth Wilson, Jamlik-Omari Johnson, and Faisal Khosa.
• Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia, USA.
• Can Assoc Radiol J. 2014 Nov 1;65(4):301-9.

AbstractThe organ injury scale grading system proposed by the American Association for the Surgery of Trauma provides guidelines for operative versus nonoperative management in solid organ injuries; however, major shortcomings of the American Association for the Surgery of Trauma injury scale may become apparent with low-grade injuries, in which conservative management may fail. Nonoperative management of common intra-abdominal solid organ injuries relies increasingly on computed tomographic findings and other clinical factors, including patient age, presence of concurrent injuries, and serial clinical assessments. Familiarity with characteristic imaging features is essential for the prompt diagnosis and appropriate treatment of blunt abdominal trauma. In this pictorial essay, the spectrum of the American Association for the Surgery of Trauma organ injury scale grading system is illustrated, and a multidisciplinary management algorithm for common intra-abdominal solid organ injuries is proposed.Copyright © 2014 Canadian Association of Radiologists. Published by Elsevier Inc. All rights reserved.

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