Diffuse Abdominal Rigidity in Surgery — 27yo Man | Trauma Surgery | SMLE Q#12380
SMLE Question #12380
Surgery
Trauma Surgery
Objective: OBJ-TRM-AIRWAY-01
Last updated: February 2026
A 27-year-old man presents to the emergency department 30 minutes after a stab wound to the right lower abdomen. He reports worsening abdominal pain and dizziness. He appears pale and diaphoretic. Examination shows a 2-cm right lower quadrant wound with diffuse abdominal rigidity, guarding, and absent bowel sounds. Airway is patent, supplemental oxygen is started, and two large-bore IV cannulas are placed; he remains hypotensive. FAST shows free intraperitoneal fluid. What is the most appropriate immediate management?
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