Abdominal Distension in Surgery — 28yo Man | Trauma Surgery | SMLE Q#1314
SMLE Question #1314
Surgery
Trauma Surgery
Objective: OBJ-TRM-AIRWAY-01
Last updated: February 2026
A 28-year-old man is brought after a high-speed motor vehicle collision with abdominal distension and right upper quadrant tenderness. FAST shows free intraperitoneal fluid. Contrast CT during a brief response to resuscitation shows a high-grade right hepatic laceration. He undergoes emergent laparotomy. Intraoperatively, there is a deep right-lobe laceration with diffuse parenchymal bleeding and ongoing shock despite resuscitation. What is the most appropriate immediate surgical management?
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