... electrolyte disturbances. Surgically explore all gunshot wounds to the lower abdomen. Because of the nature of associated visceral injuries, immediately take patients with high-velocity missile ... thorough inspection of the pelvic viscera, ureters, bowel, and blood vessels. 4-Note the presence of pelvic hematoma and, if present, leave undisturbed. 5-Bivalve the dome of the bladder. 6-Inspect ... antibiotics, and obtain a surgical informed consent, if possible. In the setting of emergency trauma, however, there is often no time for a formal surgical consent from the patient. D- Intraoperative...