Polytrauma with Grade-IV Liver Laceration and Grade-II Renal Laceration: A Case Report

Abstract

Background: One of the leading causes of mortality and morbidity is road accidents. The commonest cause of polytrauma is due to road traffic accidents, other causes may include self-harming activities, suicide, and murder. Nearly two- thirds deaths due to Road Traffic accidents are reported in India mostly in the age group of 15-44 years. Rescue of patients with polytrauma requires maintaining hemostasis while concurrently administering treatments and using proper triage management according to the severity of the injuries, especially in situations of severe trauma with pulmonary contusion and significant blood loss. Massive hemothorax and extensive tracheobronchial hemorrhage result from serious lung injury. Depending on the amount of chest leakage in cases with hemothorax, emergency surgery is advised. Here we report a case of a 20-year-old adult male who was brought by his parents to the emergency department in a conscious state. The patient reported sustained injuries over the face, chest, and left knee. All the necessary laboratory investigations were done after which the patient was shifted to the Surgery Intensive Care Unit. The primary therapeutic intervention was given to the patient and was treated with blood transfusion, antibiotics, antiemetics, and antacids, and a diet was planned during hospitalization.