Snapshot A 45-year-old man presents to the emergency department after a fight. He has 2 stab wounds in his abdomen. A FAST exam is negative for intra-abdominal fluid. A chest radiography shows free air under the diaphragm. He is immediately given 2 liters of crystalloid fluid, broad-spectrum antibiotics, and taken to the operating room for surgical exploration. Introduction Overview login to view 1 more bullet Epidemiology Risk factors login to view 5 more bullets ETIOLOGY Pathogenesis login to view 7 more bullets Presentation Symptoms login to view 3 more bullets Physical exam login to view 12 more bullets Imaging Chest or abdominal radiograph login to view 7 more bullets Abdominal CT login to view 7 more bullets Abdominal ultrasound login to view 6 more bullets Studies Serum labs login to view 4 more bullets Differential Splenic laceration login to view 2 more bullets Treatment Medical login to view 6 more bullets Surgical login to view 4 more bullets Complications Intra-abdominal abscess Sepsis