The patient exhibited rapidly deteriorating vital signs with refractory instability and clinical/imaging indicators of a surgically correctable cause, making immediate operative intervention the safest path to prevent imminent morbidity or mortality. Non-operative measures and resuscitation were initiated but failed to achieve sufficient stabilization, and delaying definitive management posed greater risk than proceeding. Emergency consent protocols were followed (implied or expedited) given the life-threatening context, and the OR, surgical team, and critical resources were confirmed available. The decision balanced procedural risks against time-critical benefits, prioritizing patient survival in accordance with emergency surgical protocols.