Question

A child had a history of stab injury on the anterior abdominal wall, and the image is shown below. The child is hemodynamically stable. Which will be the next course of treatment?

• A. Emergency laparotomy
• B. Observation
• C. Intravenous hydration
• D. Wait and watch

Answer 1

The Correct Option is A

A child with a stab injury on the anterior abdominal wall is presented in the scenario. Despite the child being hemodynamically stable, the nature of the injury requires immediate and decisive action to prevent any further complications.

Stab wounds to the abdomen are critical because they risk penetration of the peritoneal cavity, potentially injuring internal organs. Being hemodynamically stable does not negate the possibility of significant internal damage which may be initially asymptomatic. Delayed intervention can lead to serious complications including infection, internal bleeding, and organ damage.

In this case, the most appropriate course of action is an emergency laparotomy. This surgical procedure allows direct visual inspection and repair of any internal injuries, ensuring the child’s safety and stability.

Other options, such as observation, intravenous hydration, or a 'wait and watch' approach, are inappropriate because they fail to actively address potential internal injuries, which require immediate surgical evaluation and management. Thus, given the severity and risks associated with abdominal stab wounds, emergency laparotomy is not only appropriate but necessary.