This patient is best served by an exploratory laparotomy under intensive monitoring. Due to the emergent nature of his pathology, further cardiac evaluation would significantly delay the therapeutic option and would jeopardize the patients outcome.1
- Exploratory laparotomy with intensive monitoring.
1. Eagle KA, Berger PB, Calkins H, et al. ACC/AHA guideline update for perioperative cardiovascular evaluation for noncardiac surgeryexecutive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1996 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery). Circulation 2002;105:1257-67.
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