31st July 2023

A 65-year-old man with a background of type 2 diabetes mellitus is brought to A&E with severe generalised abdominal pain

A 65-year-old man with a background of type 2 diabetes mellitus is brought to A&E with severe generalised abdominal pain and bloody diarrhoea. His current observations are: BP 80/60 mmHg, RR 21/min, HR 109 bpm, T 38.8ᵒC, saturating 100% on room air. The physical examination revealed a very tense abdomen and absent bowel sounds. CT abdomen and pelvis with contrast show features of ischaemic colitis.

What is the next step of management?

Select the SINGLE most appropriate option from the list below. Select ONE option only.