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General Medicine General 0777d993

A child 14 years of age come to emergency depament with a history of blunt trauma abdomen. On examination Ballance's sign is found to be positive, otherwise the child is stable. Which of the following is not true statement?

A
A palpable tender mass can be felt in the left upper quadrant with persistent dullness
B
It is due to extracapsular or subcapsular hematoma ( of spleen )
C
Managed with Conservative treatment
D
Splenectomy is required

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