This case demonstrates severe multi-organ trauma. The patient required angio-embolization:

• massive right renal hilar injury with subsequent embolization
• mid-left renal artery injury
• punctate bleeding along internal iliac branches (i.e. active pelvic bleeding)
• active hepatic bleeding
• confirmed celiac dissection/pseudoaneurysm 

Other injuries demonstrated:

• splenic infarct
• right adrenal gland infarct (likely)
• shock bowel (suspected)
• rectal injury
• open pelvic and sacral fractures