This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, 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: Most serious complications after splenectomy are 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 are the management of choice even in adults.
Splenectomy is usually indicated under the following circumstances (Ref: Sabiston 18/e pi639 (17/e} p 1694)
1. the pt. is unstable
2. the spleen is extensively injured with continuous bleeding
3. bleeding is associated with hilar injury
4. other injuries require prompt attention