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49246 Surgery

A child 14 years of age come to emergency depament with a history of blunt trauma abdomen. On examination Ballance’s sign is found to be positive, otherwise the child is stable. Which of the following is not true statement?

AA palpable tender mass can be felt in the left upper quadrant with persistent dullness
BIt is due to extracapsular or subcapsular hematoma ( of spleen )
CManaged with Conservative treatment
DSplenectomy is required (Correct Answer)