What is the most probable diagnosis?

A 26-year-old male has been operated for abdominal trauma and splenectomy was done. On the 3rd post­op day the developed acute abdominal pain and distention in the upper abdominal area with hypotension. On insertion of ryle’s tubes, 2L of coffee ground fluid was aspirated.

What is the most probable diagnosis?
A . Reactionary hemorrhage
B . DVT
C . Acute gastric dilatation
D . Left lower lode atelectasis
E . Subphrenic abscess

View Answer

Answer: D

Explanation:

Patients with blood pressures (BP) > 180/120 mm Hg need immediate aggressive treatment if they have impending or progressive end-organ damage. Those without end-organ damage need to adjust or reinstate their regimens, but do not need immediate aggressive treatment.