This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
Duodenal blow out which is done 
Select and explain. 
A. Transcutaneous peritoneal drainage, B. Secondary closure, C. Re-exploration, D. None
A: Transcutaneous peritoneal drainage
Answer: A: Transcutaneous peritoneal drainage 
Explanation: Answer- A. Transcutaneous peritoneal drainageDuodenal blow out is massive leakage from duodenal stump following Bilroth II gastrectomy.Clinical featuresIt usually occurs on 2nd to 7th postoperative days.It usually presents as: -Sudden intense thoracoabdominal painSudden elevation in pulse and temperatureGeneral deterioration of conditionTreatment-Total parenteral nutritionFistula closure can be anticipated within 2-3 weeks.Adequate drainage