Snapshot A 50-year-old man is brought to the emergency room after a motor vehicle accident. He is hemodynamically stable at that time; his blood pressure is 110/70 mmHg and pulse is 90/min. After the team ensures that his airway and breathing are secured, they note ecchymoses in the shape of a steering wheel and ecchymosis of the flanks. They obtain a focused assessment with sonography for trauma (FAST) and discover the presence of blood in the abdominal cavity. As they proceed with the examination, his blood pressure drops to 90/60 mmHg and is no longer responsive to fluid resuscitation. He is prepped emergently for a diagnostic laparotomy. Introduction Overview login to view 2 more bullets Epidemiology Subtypes login to view 7 more bullets etiology Pathogenesis login to view 3 more bullets Presentation Symptoms login to view 3 more bullets Physical exam login to view 9 more bullets Imaging Focused assessment with sonography for trauma (FAST) login to view 5 more bullets Computed tomography login to view 6 more bullets Studies Serum labs login to view 3 more bullets Invasive studies login to view 4 more bullets Differential Ectopic pregnancy login to view 4 more bullets Treatment Medical login to view 6 more bullets Surgical login to view 5 more bullets Complications Death Prognosis Depends on etiology of hemoperitoneum and rapid diagnosis/treatment