Gluteal, abdominal, and thoracic multiple impalement injurie
Historically, traumatic injuries include penetrating and blunt lesions. Impalement injury represents one of the rarest and potentially dramatic forms of penetrating trauma. If patient reaches hospital alive and is hemodynamically stable, there is a good chance that patient overcomes the traumatic event. However, non-removal of foreign body represents the cornerstone in initial treatment of this type of patients.

A stable 55-year-old woman was admitted to the Emergency Department after falling out of a tree onto a wooden fence. One fence pole transfixed left gluteus, left abdominal wall, left abdominal cavity, and left thoracic wall by transdiaphragmatic way. Due to patient stability, a chest-abdomen CT scan with contrast medium was performed. It showed multiple parietal and visceral traumatic penetrating injuries from a foreign object. After primary and secondary advanced trauma life support (ATLS) assessment, patient underwent successful surgery. Patient was discharged on 9th postoperative day in good general clinical condition.

Source: Medicine: May 2019 - Volume 98 - Issue 22 - p e15824

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