**Question:** A patient presented with blunt abdominal injury underwent complete repair of liver; and was given transfusion of 12 units of whole blood. Thereafter, it is found that wound is bleeding. It is treated by

A. Surgical intervention
B. Blood transfusion
C. Antifibrinolytic therapy
D. Conservative management

**Core Concept:**
In patients with blunt abdominal injury, liver injury is a common occurrence. Complete liver repair includes stopping any active bleeding, ensuring hemostasis, and restoring liver function. Blood transfusion is given to replace lost blood volume and maintain hemoglobin levels, but does not directly address the source of bleeding.

**Why the Correct Answer is Right:**
The correct answer is A (Surgical intervention) because the patient's wound is bleeding despite receiving a large volume of blood transfusion. In this context, surgical intervention is necessary to address the source of bleeding and ensure proper hemostasis. Transfusion of blood units alone would not stop the bleeding.

**Why Each Wrong Option is Incorrect:**

B. Blood transfusion (12 units) - While blood transfusion is essential to replace lost blood volume and maintain hemoglobin levels, it does not directly address the source of bleeding.

C. Antifibrinolytic therapy (e.g., tranexamic acid) - Antifibrinolytic therapy is used to prevent further bleeding in trauma patients, but it is not the correct treatment for a bleeding wound after liver repair.

D. Conservative management - Conservative management is appropriate when the patient's condition is stable and there is no active bleeding. In this scenario, where the wound is actively bleeding, conservative management is not suitable.

**Clinical Pearl:**
In patients with severe trauma, it is essential to prioritize the management of direct bleeding and underlying tissue damage over general supportive care. Aggressive intervention is often necessary to achieve definitive hemostasis and prevent further complications.

**Correct Answer:** A (Surgical intervention)

---

In summary, the correct answer is option A (Surgical intervention) because the bleeding continues despite receiving a large volume of blood transfusion. Blood transfusion is essential to replace lost blood volume and maintain hemoglobin levels, but it does not directly address the source of bleeding. In this case, surgical intervention is necessary to address the bleeding wound and ensure proper hemostasis.