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Wound dehiscence — USMLE Step 3 MCQ

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ModerateSurgery (post-operative, follow-up)Wound dehiscenceUSMLE Step 3

A 69-year-old man coughs forcefully on postoperative day 7 after laparotomy and notices pink fluid from the wound. The incision separates and bowel is visible. Which of the following is the most appropriate next step in management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: C — Cover with sterile saline-soaked dressings and take to the operating room

Evisceration is a surgical emergency requiring protection of bowel and operative management.

Reference: American College of Surgeons perioperative care principles