Question:
A 35-year-old male presents with stab wound to the epigastrium, hypotension, and guarding. What is the immediate intervention of choice?
A 35-year-old male presents with stab wound to the epigastrium, hypotension, and guarding. What is the immediate intervention of choice?
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Penetrating abdominal trauma with hypotension and guarding = immediate exploratory laparotomy.
Updated On: May 14, 2026
- FAST
- DPL
- CT Scan
- Exploratory laparotomy
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The Correct Option is D
Solution and Explanation
Concept:
Penetrating abdominal trauma with hemodynamic instability and peritonitis requires immediate surgical exploration. Imaging should not delay life-saving surgery.
Step 1: Identify hemodynamic instability.
The patient is hypotensive, which means he is unstable.
Step 2: Identify peritonitis.
Guarding suggests peritoneal irritation due to intra-abdominal injury.
Step 3: Choose immediate intervention.
In penetrating abdominal trauma with shock and guarding, the immediate intervention is: \[ \text{Exploratory laparotomy} \] Therefore, the correct answer is Exploratory laparotomy.
Step 1: Identify hemodynamic instability.
The patient is hypotensive, which means he is unstable.
Step 2: Identify peritonitis.
Guarding suggests peritoneal irritation due to intra-abdominal injury.
Step 3: Choose immediate intervention.
In penetrating abdominal trauma with shock and guarding, the immediate intervention is: \[ \text{Exploratory laparotomy} \] Therefore, the correct answer is Exploratory laparotomy.
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