This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Trauma, Subject name: Surgery
True about blunt abdominal trauma with splenic rupture 
Select and explain. 
A. Kehr's sign-discoloration around umblicus, B. Spleen is most common organ to be involved, C. Splenorrhaphy is treatment of choice for splenic rupture, D. Cullen's sign seen
B: Spleen is most common organ to be involved
Answer: B: Spleen is most common organ to be involved 
Explanation: Splenic rupture: It can be subcapsular haematoma, laceration or hilar injury. It can be associated with other organ injuries like left kidney, left lobe of the liver, splenic flexure of the colon or pancreas. It can cause torrential haemorrhage and shock. It is the most common organ injured in blunt injury abdomen. Management x Ultrasound abdomen, diagnostic peritoneal lavage are the inves- tigations. x Blood transfusions. x Splenorrhaphy is done in selected patients so as to save the spleen. x Splenectomy. x Management of associated injuries. Ref: SRB manual of surgery. 5th edition. Pg no:146