case_images: PMC4010027_01
case_images: Medial displacement of the colic frame.
case_images: CRIM.CRITICAL.CARE2011-492564.001.jpg
case_images: PMC4010027_01_CRIM.CRITICAL.CARE2011-492564.001.jpg
case_images: fig1
case_images: AP abdominal radiograph (Figure 1) shows medial displacement of the colic frame and presence of gas in distal large intestine as radiopacity of the abdomen.
case_images: Bleeding tension, displacing abdominal organs.
case_images: CRIM.CRITICAL.CARE2011-492564.002.jpg
case_images: PMC4010027_01_CRIM.CRITICAL.CARE2011-492564.002.jpg
case_images: fig2
case_images: Abdominal CT findings show the presence of tension liquid that displaces the organs, but they retain their normal appearance (Figure 2), because the presence of clinical signs of hypovolemic shock is performed volume expansion with saline and packed red blood cells by central (right subclavian).
case_images: Membranous bag containing blood.
case_images: CRIM.CRITICAL.CARE2011-492564.003.jpg
case_images: PMC4010027_01_CRIM.CRITICAL.CARE2011-492564.003.jpg
case_images: fig3
case_images: Then it is taken to OR; exploratory laparotomy revealed the presence of a membranous bag containing about 2 liters of blood (Figure 3).