A 40 years old male was brought to the emergency with severe abdominal pain. On examination, pulse rate was 112/minute and systolic BP was 80 mm Hg. Chest X-ray is given below. What is the most appropriate management?
X-ray - Gas under right dome of diaphragm - secondary bacterial peritonitis Secondary bacterial peritonitis (SBP) Due to perforation Spillage of intestinal contents Polymicrobial E. coli + Bacteroides Mx: Exploratory laparotomy. + Drain
Exploratory laparotomy
Intercostal tube drainage
Saline wash of stomach
IV antibiotics
GIT