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
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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.