Localized Tenderness But No in Surgery — 18yo Man | Trauma Surgery | SMLE Q#11345
SMLE Question #11345
Surgery
Trauma Surgery
Objective: OBJ-TRM-AIRWAY-01
Last updated: February 2026
An 18-year-old man presents after a stab wound to the left upper abdomen. He is alert with localized tenderness but no peritonitis. Contrast-enhanced abdominal CT shows a small splenic laceration with minimal perisplenic fluid and no active contrast extravasation or large hemoperitoneum. What is the most appropriate definitive management?
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