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Surgery
A 19-year-old man is brought into the emergency department with a gunshot wound that occurred 4 hours before admission. At exploratory laparotomy, an injury is noted in the transverse colon with extensive tissue destruction. There is a large amount of fecal contamination. Management of this injury should include which of the following?
Debridement and closure of wound with a proximal colostomy
Resection with proximal colostomy and distal mucous fistula
Resection of the injured colon with primary anastomosis and proximal colostomy
Resection of the wound with primary anastomosis and proximal cecostomy
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