Happy birthday Enkidu07!!
Dean dispatched the vampire and then slumped to the ground, holding his stomach. He hadn't come through the fight unscathed he noted, somewhat dispassionately, whilst wondering where Sam had got to. His view now was of the ceiling, criss-crossed with cracks and swathed in ancient cobwebs, but strangely no spiders. He puzzled over that – and why it was suddenly getting so dark.
Sam arrived, breathless, just as Dean's hand slipped from the gaping wound in his abdomen. Nausea overwhelmed him as he caught sight of a part of his brother's intestine. He vomited and then called 911.