Trauma represents the main cause of death among people under the age of 35 worldwide. Until the 90s, the operative management (OM) was the golden standard of treatment for trauma patients with abdominal bleeding. Over the last few decades, though, a shift has been made from operative to non-operative management (NOM) in haemodynamically stable trauma patients with findings of recent intra-abdominal bleeding and no signs of peritonitis. However, NOM may be particularly challenging in patients with multi-abdominal organ injuries since evaluation and total treatment may be exceptionally difficult. We report the case of a 25-year-old patient with blunt abdominal trauma (BAT) suffering multiple injuries of the spleen and liver, pelvic fracture and right femur fracture who has been successfully treated through NOM.