What will be the initial management in a hemodynamically stable patient with an anterior abdominal stab injury presenting with a tag of omentum protruding through the abdominal wall near the umbilicus and showing no signs of peritonitis?
Correct Answer: CECT Abdomen
Description: emodynamically Stable patients with omental protrusion should be investigated thoroughly first with an abdomino-pelvic contrast enhanced CT scan, before proceeding to surgery. Exploratory Laparotomy is not an absolute indication for this case. Ref: Reference: Trauma: A Comprehensive Emergency Medicine Approach By Eric Legome, Page222; Imaging & Intevention in Abdominal trauma (springer) 2004, Page 394; Emergency management of Trauma Patient: Cases, Algorihm, Evidence (Lippincott- Williams) 2006, Page 97; Imaging and intervention in abdominal trauma R. F. Dondelinger, Gina M. Allen, Page 392.
Category:
Surgery
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