Severe polytrauma with massive intraperitoneal and retroperitoneal hemorrhage successfully treated in a hybrid operating theater: A case report and literature review

For multidisciplinary treatment, intrahospital transfer of seriously injured patients is considered a challenging and risky process. Here we describe the successful treatment of a 38-year-old male who was involved in a motor vehicle collision and sustained multiple severe injuries. He was admitted with hemorrhagic shock due to intra-abdominal and retroperitoneal bleeding, in addition to lung contusion, an unstable fracture of the pelvis, a thoracic spine fracture, and lower long-bone fractures. A prompt resuscitation was carried out, and the patient was transferred to the hybrid operating theater for treatment of multiple intra-abdominal hemorrhage sites (spleen, mesentery, and liver), including the angioembolization of multiple bleeding vessels in the retroperitoneal space. The combination of emergency surgery and intraoperative interventional radiology in the hybrid theater provides a rapid and appropriate management approach in unstable trauma patients with severe multiple injuries. It reduces complications related to intrahospital transfer of patients and improves clinical outcomes.