This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Surgical Disorders of Spleen, Subject name: Surgery
In splenic injury conservative m/n is done in : 
Select and explain. 
A. Hemodynamically unstable, B. Young pt., C. Shatterred spleen, D. Extreme pallor and hypotension
B: Young pt.
Answer: B: Young pt. 
Explanation: 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