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3418 Surgery

A 64-year-old male is admitted to the emergency department following a car accident. His pulse is 94 bpm, blood pressure 95/60 mm Hg, and HCT 30%. Severe hematuria is evident. Following resuscitation, his blood pressure is elevated to 120/80 mm Hg. A CT scan reveals extensive contusion confined to the left kidney and perirenal fat. His blood pressure declines to 80/40 mm Hg, and urgent laparotomy is performed via?

AThrough a left flank incision
BThrough a midline abdominal incision
CThrough an Gibson incision
DThrough a thoracoabdominal incision
Surgery
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