1.

A 25 year old boy reports 36 hours following a RTA with splenic injury,BP-100/60 mm Hg and pulse-180/minute.Investigations show splenic lower pole laceration with hemoperitoneum.The patient is resuscitated with blood transfusion and adequate fluid to the extend BP-120/80 mm Hg and pulse-80/minute.Next step in management would be:

A. Splenorraphy
B. Lower pole excision
C. Splenectomy
D. Observation with close mon coring and no surgery until further deterioration
Answer» E.


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