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Surgery
A 55-year-old woman presents with pain in the LLQ of the abdomen and fever of 102degF. On examination, she is found to be dehydrated and has tenderness in the LLQ. A CT scan shows a mass in the LLQ involving the sigmoid colon. There is a minimal amount of free fluid and no free air. What should the initial treatment of this patient include?
IV fluids, penicillin, and steroids
IV fluids, cefoxitin, and nasogastric drainage
IV fluids, blood transfusion, and laparotomy
immediate laparotomy
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