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Missed hollow viscus injuries increase the mortality rate in trauma patients specifically in polytraumatized patients. A 18 years old young male patient suffered a high velocity (ca.50 km/h, 31mi/h) car crash with deployment of the airbags. The hemodynamically stable patient did not suffer any intracranial injuries but complained about severe pain in the lower abdomen. The primary survey was misleading. CT demonstrated minimal accumulation of free intraabdominal fluid. Due to persistentlydoi:10.15761/tec.1000119 fatcat:dzuz3lywwbczjbvvgp6lkgj4ai