In splenic injury conservative m/n is done in :
Ans is 'b' ie. Young pts Most serious complications after splenectomy is OPSI (Opportunistic Post Splenectomy Infections) it is most common in young children and immunocompromised adults."Therefore it is essential to save the spleen in children."Now spleen salvage methods is the management of choice even in adults.Splenectomy is usually indicated under the following circumstances (Ref: Sabiston 18/e pi639 (17/e} p 1694)the pt. is unstablethe spleen is extensively injured with continuous bleedingbleeding is associated with hilar injuryother injuries require prompt attention"Splenectomy is indicated for hilar injuries, pulverized splenic parenchyma, or any injury of grade II or higher in a patient with coagulopathy or multiple injuries."-Schwartz 9/e
Hemodynamically unstable
Young pt.
Shatterred spleen
Extreme pallor and hypotension
Surgical Disorders of Spleen