Conclusions In summary, we described the case of primary ACS caused by blunt liver injury. Interventional procedures may improve primary ACS if the patient has hemorrhagic diathesis or coagulopathy discouraging surgeon from laparotomy, limited vascular injury, and no obvious peritonitis. Consent Written informed consent was obtained from the patient for publication of this #find more randurls[1|1|,|CHEM1|]# Case report and any accompanying images. A copy of the written consent is available for review by

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