After laparoscopic Roux-en-Y, the patient has low blood pressure and tachycardia, abdominal pain, and shoulder pain. What to do? CT with contrast, emergency laparoscopy, ultrasound... After laparoscopic Roux-en-Y, the patient has low blood pressure and tachycardia, abdominal pain, and shoulder pain. What to do? CT with contrast, emergency laparoscopy, ultrasound, or endoscopy?
Understand the Problem
The question is asking for the appropriate medical intervention for a patient exhibiting low blood pressure, tachycardia, abdominal pain, and shoulder pain after laparoscopic Roux-en-Y surgery. The options provided suggest possible diagnostic procedures or treatments.
Answer
CT with contrast.
The final answer is CT with contrast.
Answer for screen readers
The final answer is CT with contrast.
More Information
In the context of complications following laparoscopic Roux-en-Y surgery, symptoms such as low blood pressure, tachycardia, and abdominal pain may indicate an internal problem like a bleed or leak. A CT scan with contrast is typically used to identify such postoperative complications quickly and accurately.
Tips
A common mistake is not preferring the CT scan with contrast which can provide critical details about the internal state, necessary for acute diagnosis post-surgery.
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