This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: FMGE 2018, Subject name: Medicine
[{'content': 'M/C immediate complication of splenectomy? \nSelect and explain. \nA. Hemorrhage, B. Fistula, C. Bleeding from gastric mucosa, D. Pancreatitis', 'role': 'user'}, {'content': 'Answer: A \nExplanation: Most common immediate complication of splenectomy is hemorrhage Late/Delayed complication - Oppounistic infection by capsulated organism like Pneumococcus, Meningococcus, H. influenza. Indication for splenectomy includes: Symptom control in patients with massive splenomegaly, Disease control in patients with traumatic splenic rupture, Correction of cytopenias in patients with hypersplenism or immune-mediated destruction of one or more cellular blood elements. Patients with sickle cell disease suffer from autosplenectomy as a result of splenic destruction by the numerous infarcts associated with sickle cell crises during childhood.', 'role': 'assistant'}]