The patient went emergently to the operating room while resuscitating by IV fluid and packed cells. The majority of the right liver was disrupted - macerated with some hepatic fragments found in the pelvis. The foci of active bleeding packed with several elongases. No pulsatile or expansile retroperitoneal hematoma found, so no further retroperitoneal exploration was performed. A few hours later he again brought to the operating room with hypotension and blood oozing from the surgical incision and again underwent hepatic packing. The patient died from traumatic shock within 48 hours of admission.