29-year-old man presents to the ED with a 5-days history of fever, loose stool and tenesmus. He was discharged from the hospital 2 weeks ago after an appendectomy for a perforated appendix. On exam, he is febrile, abdominal exam was positive for a mild tender suprapubic area and rectal exam revealed a boggy mass anteriorly. CT scan of the pelvis confirmed the diagnosis. What is the most appropriate next step in management?
سؤال مجاني 4 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: C. Transrectal drainage
Fever, loose stool and tenesmus after surgery for a perforated appendix, with a boggy anterior rectal mass, indicate a pelvic abscess. A pelvic abscess that bulges into the rectum (or vagina) is drained through the rectum, which avoids a laparotomy. A leucocyte scan or colonoscopy adds nothing once CT has confirmed the abscess.
- المصدر
- Acute appendicitis final.pdf · p. 24
Acute appendicitis final.pdf · p. 15 - المحاضرة
- Appendicitis · General Surgery · Module D
- ظهر في
- Surgery QB (Module D) p. 27 Q22