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?
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.
FAST
CECT Abdomen
Exploratory Laparotomy
Local Wound Exploration and Suturing