Care for non-healing wound

Mrs Nováková is a 70 years old polymorbid female patient. She was taken to the emergency department because she had a car accident where as a car driver hit the pillar. Right after rescue she is conscious, spontaneously ventilating, circulating stable, complaining of chest pain. After full-body CT, craniotrauma and spinal injury were excluded. However, there are fractures of the ribs and the acetabula on the right also. Because of the nature of the injuries, the conservative treatment is kept. Due to rupture of the liver and spleen, surgical revisions were necessary. After surgery, with secured airways, Mrs. Nováková was admitted to the Department of Acute and Intensive Care. Choose an injury that could cause a defect?
70
years
woman
RR
29 /min
HR
105 /min
SpO2
93 %
BP
147/75 (99) mmHg
Glycaemia
Gly
12,0  mmol/L
Arterial blood gas
pH
7,28
pCO2
48,75  torr
pO2
71,25  torr
BE
-8  mmol/l
HCO3
21  mmol/l
Complete blood count
HGB
120  g/L
HTC
0,38
ERC
4,6  x1012/L
LEU
18  x109/L
PLT
420  x109/L
Biochemical analysis
Na
140  mmol/L
K
4,8  mmol/L
Cl
103  mmol/L
Glycaemia
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Arterial blood gas
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Complete blood count
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Biochemical analysis
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