Patient presented to the emergency department with severe abdominal pain - an erect radiograph was done. Based on the findings - the management should be:(AIIMS 2018): (A) Gastric lavage, (B) ICD insertion, (C) Laparotomy, (D) USG FAST
Answer is C. Ans.C LaparotomyRadiograph shows free gas under diaphragm suggestive of Perforation - hence answer is Laparotomy. X-ray chest erect - is best radiographic projectionQ whereas CT scan is the most sensitiveQ/overall Best investigationQ to identify pneumoperitoneum.