A 52-Year-Old Man Undergoes Emergency Laparotomy for Peritonitis After He

question 442

Multiple Choice

A 52-year-old man undergoes emergency laparotomy for peritonitis after he was stabbed in the abdomen during a robbery.  During the operation, minor spillage of enteric contents is discovered, and a small bowel injury is found and repaired.  When the rest of the intraabdominal organs are examined for injury, an approximately 10 cm gastric mass is found that appears most consistent with a gastrointestinal stromal tumor.  Resection of the mass would require partial gastrectomy.  Which of the following is the most appropriate next step?

• A)Do not resect the mass because of the increased risk of infection
• B)Do not resect the mass because of the lack of patient consent
• C)Do not resect the mass to limit operative time in the setting of trauma
• D)Resect the mass because of the high likelihood of malignancy
• E)Resect the mass to avoid another operation in the setting of abdominal adhesions
• F)Resect the mass to decrease total medical costs and recovery time for the patient

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Definitions:

Intimate Violence

Physical, sexual, or emotional abuse between individuals in a close relationship, often used interchangeably with domestic violence.

Sexual Activity

Actions that involve sexual contact or behavior between individuals.

Abusive Relationship

A relationship dynamic where one party engages in behaviors that exert control or harm over the other.

Brutal Violence

Acts of extreme physical force with the intention to harm, intimidate, or coerce, often resulting in severe injury or death.