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Surgery
A 27-year-old homosexual male presents with a foreign body in the rectum. During the extraction of the foreign body, a large tear in the sigmoid colon with extensive devitalization and contamination is observed. What is the preferred method of treatment?
Observation
Proctoscopic repair
Laparotomy and closure of sigmoid colon tear
Laparotomy, closure of sigmoid, and proximal colostomy or exteriorization of perforation as a colostomy
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