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
Procedure of choice in ulcerative colitis with acute perforation is - 
Select and explain. 
A. Defunctioning ileostomy, B. Closure of perforation, C. Proximal diversion colostomy, D. Total colectomy and ileostomy
D: Total colectomy and ileostomy
Answer: D: Total colectomy and ileostomy 
Explanation: None