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41356 Pathology
41361 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?

AObservation
BProctoscopic repair
CLaparotomy and closure of sigmoid colon tear
DLaparotomy, closure of sigmoid, and proximal colostomy or exteriorization of perforation as a colostomy (Correct Answer)