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General Medicine General d9e3512a

A 30 year old person met with a roadside accident. On admision his pulse rate was 120/minute, BP was 100/60 mmHg. Ultrasonagraphy examination revealed laceration of the lower pole of spleen and haemoperitoneum. 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 further indicated

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