First one with correct answer with justification win.

 

[size=20px]A six-year-old child with hereditary spherocytosis is referred to you for total splenectomy.

 

The potential outcomes following total splenectomy include

 

A growth retardation.

 

B vascular thrombosis.

 

C decreased rate of sepsis.

 

D decreased intravascular hemolysis.

 

E decreased risk of common childhood infections.[/size]

B

B

correct

 

Splenectomy increases the risk of vascular thrombosis. Clinical thromboembolic events such as portal vein and deep vein thrombosis are seen in up to 10% of patients following splenectomy although the incidence of subclinical thrombosis may be even higher.