Penetrating abdominal trauma is one of the pathologies with the greatest impact worldwide, since it causes high morbidity and mortality in a population that is in full economic development, such as young adults, causing them large medical expenses, disability and even death from For this reason, the objective is to carry out a clinical case study by collecting medical records, evolutions, operative reports and therapeutic plans to explain the importance of damage control in the patient with trauma, especially in penetrating trauma, and to lay the foundations. for future studies based on the contributions and conclusions offered by the project, such as the use of advanced negative pressure techniques to perform a partial closure of the abdomen, include interventional techniques within the postoperative approach and encompass novel markers of complications in order to predict catastrophic outcomes.