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Case Reports
. 1978 Jun;75(6):832-5.

Massive impalement wound of the chest. A case report

L H Romero, H F Nagamia, A A Lefemine, E D Foster, J P Wysocki, R L Berger
  • PMID: 661352
Case Reports

Massive impalement wound of the chest. A case report

L H Romero et al. J Thorac Cardiovasc Surg. 1978 Jun.

Abstract

A 29-year-old man sustained an impalement wound of the right side of the chest with a 6 foot long, 4 by 4 inch wooden post during a high-speed automobile accident. The post entered the right side of the chest anteriorly and exited posteriorly. The great vessels of the chest were spared, but the right lung was lacerated and contused. Removal of the post, treatment of pulmonary parenchymal damage, and reconstruction of the two large chest wall defects presented problems in management. Rapid transport of the patient to the hospital, effective emergency treatment, surgical repair of the chest injury, and appropriate supportive measures contributed to his survival.

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