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

Ismail Mahmood; Ammar Almadani; Yousif Alomar; Ayman El-Menyar; Sandro Rizoli; Hassan Al-Thani

doi:10.5339/jemtac.2025.11

ISSN: 1999-7086
E-ISSN: 1999-7094

oa Severe polytrauma with massive intraperitoneal and retroperitoneal hemorrhage successfully treated in a hybrid operating theater: A case report and literature review
المؤلفون: Ismail Mahmood¹, Ammar Almadani¹, Yousif Alomar², Ayman El-Menyar^3,4, Sandro Rizoli¹ and Hassan Al-Thani¹
عرض الانتماءات إخفاء الانتسابات المهنية

¹ Trauma Surgery Section, Hamad General Hospital, Doha, Qatar ² Jordan University of Science and Technology, Irbid, Jordan ³ Trauma & Vascular Surgery, Hamad General Hospital, Doha, Qatar ⁴ Weill Cornell Medical College, Doha, Qatar

*Correspondence: Ayman El-Menyar [email protected]
المصدر: Journal of Emergency Medicine, Trauma and Acute Care, Volume 2025, Issue 1, فبراير ٢٠٢٥, 11
DOI https://doi.org/10.5339/jemtac.2025.11
- المستلَم: ١٦ سبتمبر ٢٠٢٤
- المقبول: ٠٢ ديسمبر ٢٠٢٤
- تاريخ النشر الكترونيا: ١٧ فبراير ٢٠٢٥

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.

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/content/journals/10.5339/jemtac.2025.11

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

Journal of Emergency Medicine, Trauma and Acute Care 2025, 11 (٢٠٢٥); https://doi.org/10.5339/jemtac.2025.11

/content/journals/10.5339/jemtac.2025.11

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نوع المستند: Case Report

الموضوعات الرئيسية damage control surgery, hybrid theater, interventional radiology, polytrauma and traumatic injury

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

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