Mild Abdominal Discomfort in Surgery — 32yo Woman | General Surgery | SMLE Q#1402

SMLE Question #1402

Surgery General Surgery

Objective: OBJ-TRACH-EMERG-01

Last updated: February 2026
A 32-year-old woman is 16 days after an emergency cesarean section for obstructed labor. She has feculent drainage from a small opening in her lower midline wound (~350 mL/day) with mild abdominal discomfort. Examination shows no peritoneal signs. CT abdomen/pelvis shows no distal bowel obstruction or intra-abdominal collection. What is the most appropriate initial management?

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