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In this era of modern mechanization of the world, the incidence of poly trauma is increasing every day. Abdominal and pelvic trauma resulting in concealed hemorrhage is the main cause of mortality following poly trauma. Most of these deaths can be prevented by early diagnosis and prompt management of the underlying cause of hemorrhage. Identification of the victims with persistent hemodynamic abnormality in need of early surgical intervention is essential for a better patient outcome. Focused assessment with sonography in trauma is a useful bedside tool that aid in early identification of patients with intra-abdominal hemorrhage. Computed tomogram of the abdomen is the preferred diagnostic modality in the management of hemodynamic normal patients. Damage control surgery is beneficial in the subset of patients with depleted physiologic reserve and hemodynamic abnormality