Increased traffic in the world, and in our country as well, and increasing speed, uncorrelated with the construction of highways have led to a high number of road accidents with extremely serious consequences, and deaths. Along with polytrauma by work accidents, they require complex surgical therapy in due time, often multidisciplinary, which often places the surgeon in the face of situations that are not found in the everyday practice. This article presents the case of a 43-year-old patient, victim of a car accident, who has suffered closed multiple trauma. This case is of interest due to the severity of injury, but also due to intraoperative surprises