Five patients (15%) were excluded from the study because of neurosurgical and/or orthopedic complications, having no abdominal injuries, documented by echography or CT. 16 of the remaining 28 patients (48, 5%) had instable hemodynamic conditions so they underwent to explorative laparotomy and splenectomy for spleen rupture (13 patients – 81%) or major liver damage (3 patients – 19%), documented by CT or FAST performed in emergency room. For 12 patients (36, 4%) with stable hemodynamic conditions when admitted, it was considered a conservative treatment, so, in the hours after, they underwent to “bedside ultrasonography” for: retroperitoneal hematoma (2 patients – 17%), undergoing, when the lesion became stable, to CT-guided drainage. Respectively 3 patients (25%) and 4 patients (33, 3%) had hepatic and renal minor injuries and underwent to non-operative management and echographic follow-up; 3 patients (25%) were followed with echographic approach because of “heterogeneous sonographic appearance of splenic parenchyma” and subsequent delayed spleen rupture. These patients underwent to surgery after echographic demonstration of sudden increase of abdominal effusion and signs of hypovolemic shock.