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A 24-year-old female with multiple trauma, a victim of car accident as a passenger, presented to the emergency ward with blunt abdominal trauma less than 2 hours after the event. she had mild abdominal tenderness in the epigastric and periumbilical areas and gross hematuria. rectal examination was normal. bedside fast ultrasonography of the peritoneal cavity did not reveal free fluid. pelvic x-ray showed bilateral pubic rami fracture. she was hemodynamically stable and underwent ct scan to evaluate the intra-abdominal organs.