Q:

A 65 year old man had closure of colostomy performed 5 days ago. He is not systemically unwell. There is a tender, localised fluctuant swelling 4 cm in diameter in the wound. What is the SINGLE most appropriate management?

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A 65 year old man had closure of colostomy performed 5 days ago. He is not systemically unwell. There is a tender, localised fluctuant swelling 4 cm in diameter in the wound. What is the SINGLE most appropriate management?


  1. Abdominal support
  2. Antibiotics
  3. Laparotomy and re-suture wound
  4. Local exploration of wound
  5. Observation

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The key is D. Local exploration of wound.

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