A 25-year-old Hispanic male was transferred to our level I trauma
center after being ejected 40 feet from a motor vehicle crash.
Once stabilized in the trauma bay, a computed tomography (CT)
scan of the abdomen/pelvis with IV contrast revealed two AAST
Organ Injury Scale grade III liver lacerations without contrast
extravasation, bilateral pulmonary contusions, right posterior
non-displaced fourth rib fracture, non-displaced right scapular
body fracture, and bilateral anterior and posterior pelvic fractures
[Figures 1–2]. A non-operative approach to the hepatic lacerations
was chosen and the patient underwent closed reduction and
percutaneous pinning of his posterior pelvic fractures as well as
anterior external fixation of his bilateral pubic rami fractures.
Spontaneous Mesenteric Hematoma with Duodenal Stenosis
