A fatal anal impalement
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Anal impalements are infrequent injuries and generally involve only gastrointestinal, urinary or genital pelvic structures. They are rarely fatal. Only one previous fatal case was reported in the literature in 1995.We report a rare case of fatal impalement, to our knowledge, the second one to be ever described in the literature.A 63-year-old man was admitted to the emergency department after an accident occurred in his garden. He presented a trans-anal impalement by a metallic rod and a complex wound in the left-side thoracic wall.On arrival, consciousness was preserved despite the low blood pressure. The only immediate therapy started was fluid resuscitation. Unfortunately, the patient died for a severe hemorrhagic shock...

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