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The abdominal wall split transversely, extruding intact bowel. After resuscitation, based on the ATLS protocol, the client underwent eight laparotomies for damage control. After 45 days into the Surgical Intensive Care device, then 11 times in the medical ward, he was discharged in an effective problem. Eight months later on, he was accepted electively for ileostomy reversal, that was uneventful. Summary Patients with a high trauma mechanisms have actually high death and morbidity price. Bl