<![CDATA[Abdominal trauma is an injury that occurs to organs in the stomach, such as the stomach, intestines, liver, spleen, pancreas, bile and kidneys, damage to the structures located between the diaphragm and pelvis. Abdominal trauma is divided into two types, namely blunt abdominal trauma and abdominal puncture trauma. Injuries to the intestines and liver are most common in penetrating and gunshot trauma to the abdomen. In this case report, it was reported that a 16 year old boy came to the Emergency Room at Abdul Moeloek Hospital with the main complaint of a knife wound to the stomach with the intestine bursting out through the wound at the stab site. On physical examination, there was a sign of fourth degree bleeding shock, in the abdominal region there was a stab wound, right in the middle, five centimeters below the center, there was a transverse open wound measuring five centimeters by four point five centimeters, elliptical wound shape, firm boundaries, flat edge, second acute angle, with the base of the abdominal cavity, the tissue bridge is absent, there is active bleeding from the intraabdominal cavity, with a portion of the intestine and omentum expelling out of the abdominal cavity. In the patient undergoing an emergency exploration laparotomy, bleeding from the ileocaecal artery, branches of the right colic artery, perforation in the ileum measuring 3x1 centimeters, the location of the perforation 20 centimeters proximal to the ileocaecal border, performed artery ligation and stoma at the perforation site. In this case, it was a case that came to the hospital late, because there had been fourth-degree bleeding shock for a long time, so the patient could not be saved. Massive bleeding originating from the ileocaecal arteries and branches of the colica artery causes hemodynamic instability, it should be handled more quickly so as not to cause high morbidity and mortality.]]>
