Question 23
2 results
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Benign Disease- A 23-year-old man fell off a bull while riding and later suffered an isolated injury to the left perineal region by one of the bulls’ horns. At the emergency department, he was hemodynamically intact, and had a perineal penetrating injury measuring approximately 6 × 5 cm. Abdominal examination findings were benign. Computed tomography of the abdomen and pelvis noted approximately 35% circumferential extraperitoneal rectal injury. In addition to initiating broad-spectrum antibiotics and proctoscopy, what is the next step in management?
- A 53-year-old male renal transplant recipient receiving tacrolimus and prednisone presents with acute sigmoid diverticulitis with specks of free air and a 5-cm pelvic abscess which is not amenable to percutaneous drainage. His vital signs are a temperature of 102.0°F (38.9°C), heart rate 105 beats/min, blood pressure 110/80 mm Hg, and white blood cell count 18,000/µL (18109/L). The best next step in management is: