Impalement Chest Injury: A Narrow Miss of Vital Structures

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Published: 2025-09-16
DOI: https://doi.org/10.82222/njcd.vol5no1.22
Keywords:
Vascular Control, Thoracotomy, Chest, Impalement injury

Main Article Content

S. B. Sanni
Cardiothoracic Surgery unit, Department of Surgery, Federal Medical Centre, Abeokuta.
I. Arasih
Cardiothoracic Surgery unit, Department of Surgery, Federal Medical Centre, Abeokuta.
A. A. Odewabi
Department of Anaesthesia and intensive care, Federal medical Centre, Abeokuta.
A. M. Adedapo
Department of Anaesthesia and intensive care, Federal medical Centre, Abeokuta

Abstract

Impalement injuries to the chest mostly result from high energy injury from a sharp protruding object. They are most often fatal, but cases of many survivors have been recorded, just as the index case being reported. The patient sustained injury as a passenger in a truck which lost control, and a sharp stationary wood by the road side got stuck onto his chest. He presented to the hospital 5hours after the injury. He was then taken to theatre where the impaled object was removed successfully aided by a thoracotomy for proximal vascular control under general anaesthesia. Surprisingly, no major intrathoracic injury was seen. The patient recovered fully without any disability.

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Article Details

Issue

Vol. 5 No. 1 (2024): November

Section

Case Report
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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

This is an open-access article distributed under the terms   This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

How to Cite

Sanni , S. B., Arasih, I., Odewabi , A. A., & Adedapo , A. M. (2025). Impalement Chest Injury: A Narrow Miss of Vital Structures. Nigerian Journal of Chest Diseases, 5(1), 32-35. https://doi.org/10.82222/njcd.vol5no1.22

References

1. Afzal RM, Armughan M, Javed MW, Rizvi UA. Thoracic impalement injury : A survivor with large metallic object insitu. Chinese J Traumatol [Internet]. Elsevier Ltd; 2018;21(6):369–72. Available from: https://doi.org/10.1016/j.cjtee.2018.08.002

2. Ruano RM, Pereira BM, Biazzoto G. Management of Severe Thoracic Impalement Trauma Against Two-Wheeled Horse Carriage : A Case Report and Literature Review. Indian J Surg. 2014;76(August):297–302.

3. Tannheimer M, Fischer D, Friemert B, et al. Removal of a thoracic impaling agent without direct observation. The significance of pre-operative diagnosis. Unfallchirurg. 2005;108(3):241–245.

4. Carole L, Naidoo P. Breaking the rules: a thoracic impalement injury. MJA. 1999;171:676–77.

5. Dura´n Mun˜ oz-Cruzado V, Pen˜ uela Arredondo J, Meneses Freitte I, Gonza´laez Haddad A, Herrera Tobon M. Thoracoscopy as an Alternative to Sternotomy in Impalement Injury of the Thoracic Outlet of a Hemodynamically Stable Patient § ´ a en herida por Toracoscopia como alternativa a esternotomı ´ rculo tora ´ cico en paciente hemodina estable. Cir Esp. 2019;97(7):414–6.

6. Romero LH, Nagamia HF, Lefemine AA, Foster ED, Wysocki JP, Berger RL. Massive impalement wound of the chest. J Thorac Cardiovasc Surg [Internet]. American Association for Thoracic Surgery; 1978;75(6):832–5. Available from: http://dx.doi.org/10.1016/S0022-5223(19)39596-0

7. Sobnach S, Nicol A, Nathire H, Kahn D, Navsaria P. Management of the retained knife blade. World J Surg. 2010;34:1648–52.

8. Yoo B, Shin YC. Cardiac impalement injury by a steel rebar : A case report. Int J Surg Case Rep [Internet]. Surgical Associates Ltd; 2020;66:174–7. Available from: https://doi.org/10.1016/j.ijscr.2019.12.006

9. Caso´s S, Richardson J. Role of thoracoscopy in acute management of chest injury. Curr Opin Crit Care. 2006; 12:584–9.

10. Bergaminelli C, Salvi R, Maria D, Messina G, Cicalese M, Curcio C, et al. Management of chest impalement injury. Int J Surg Case Rep [Internet]. Surgical Associates Ltd; 2019; 61:123–6. Available from: https://doi.org/10.1016/j.ijscr.2019.07.043

11. Edwin F, Tettey M, Sereboe L, Kotei D, Tamatey M, Delia I. Impalement injuries of the chest. Ghana Med J. 2009;2(43):86–9.

12. Sawhney C, D’Souza N, Mishra B. Management of a massive thoraco-abdominal impalement: a case report. Scand J Trauma Resusc Emerg Med. 2009; 7:17–50.

13. Lunca S, Morosanu C, Alexa O, Pertea M. Severe thoracic impalement injury: Survival in a case with delayed surgical definitive care. Ulus Travma Acil Cerrahi Derg. 2015;21(2):152–6.