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J Thorac Cardiovasc Surg 2005;129:1179-1180
© 2005 The American Association for Thoracic Surgery

Brief Communications

Unusual impalement injury in a Jehovah’s Witness

M. Lanthaler, MD, M. Freund, MD, R. Margreiter, MD, PhD, H. Nehoda, MD, PhD*

Department of General and Transplant Surgery, Innsbruck Medical University, Innsbruck, Austria.

Received for publication August 24, 2004; accepted for publication September 27, 2004.

* Address for reprints: Hermann Nehoda, MD, PhD, Department of General and Transplant Surgery, Innsbruck Medical University, Anichstrasse 35, 6020 Innsbruck, Austria (E-mail: hermann.nehoda@uibk.ac.at).

The first 20% of the full text of this article appears below.

Impalement injuries are caused by elongated objects, such as metal or wooden stakes, that penetrate and remain in the human body. We here describe the case of a 44-year-old male Jehovah’s Witness who survived a most unusual triple abdominothoracic impalement injury.

Clinical summary

A 44-year-old man sustained a triple impalement injury after a backward fall of 3 m onto metal reinforcement rods. Two of these iron rods entered the patient’s left side just above the gluteus muscle. The third iron hit the patient somewhat higher up.

On arrival at the emergency department of our hospital, the patient’s pulse rate was 100 beats/min, and his blood pressure was 130/85 mm Hg. A computed tomographic scan of the thorax and abdomen showed the 3 iron rods: 2 had penetrated the gluteal region and entered the left side of the chest, with a massive fluid collection in the thoracic cavity (Figure 1). The third rod, having . . . [Full Text of this Article]






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