Question 144 · LEK · Gastrointestinal perforation
The proper management in the case of rectal perforation accompanied by fecal peritonitis is:
- A. partial resection of the rectum and making primary anastomosis.
- B. to create a colostomy.
- C. application of a prosthesis.
- D. to create an anastomosis bypass.
- E. peritoneal lavage and drainage.
Hint
In a heavily contaminated, inflamed peritoneal cavity an anastomosis is unsafe; think of diverting the fecal stream.
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