Question
A patient came in emergency with severe abdominal pain pulse 112/ minute and systolic BP 80 mm/Hg with the chest X-ray shown below. What will be the next appropriate step to be taken for the patient?
A. Exploratory laprotomy
B. Saline Wash of stomach
C. Intercostal tube drainage
D. None
Show Answer
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Correct Answer » A
Explanation
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Answer. A. Exploratory laparotomy
- Above X-ray shows air under left diaphragm (pneumoperitoneum) which indicates hollow viscous perforation with partial intrathoracic positioned stomach.
- This patient will require emergency exploratory laparotomy.
- This is one of the commonest surgical emergencies.
