A 37‐year‐old female presented to our emergency department, 2 h following a motorbike crash at 30 km/h. On examination, without any aggressive resuscitation, she was mildly tachycardic, normotensive and afebrile with a non‐distended but generally tender abdomen. Her past medical history was consistent with intravenous drug abuse, hepatitis C, lifelong rivaroxaban for previous pulmonary embolism and a 5‐year intrauterine contraceptive device.