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Surgery Spleen 499329d9

A 30-year-old person met with a roadside accident. On admission his pulse rate was 120/minute, BP was 100/60 mmHg. USG examination revealed laceration of the lower pole of spleen and hemoperitoneum. He was resuscitated with blood and fluid. Two hours later, his pulse was 84/ minute and BP was 120/70 mm Hg. The most appropriate course of management in this case would be:

A
Exploring the patient followed by splenectomy
B
Exploring the patient followed by excision of the lower pole of spleen
C
Splenorrhaphy
D
Continuation of conservative treatment under close monitoring system and subsequent surgery if fuher indicated
High-Yield Explanation
- The most appropriate course of management in this case would be Conservative management - CECT | Depending upon the findings proceed for surgery

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