Penetrating 'ice pick' injury extending into pulmonary arter
Penetrating thoracic traumas have a wide spectrum, ranging from mild traumas to life-threatening injuries. This paper illustrates a 40-year-old male with a penetrating pulmonary artery injury that was successfully treated with emergency surgery. The patient visited local hospital by foot complaining of moving object on his chest and was found that an ice pick was penetrating the man's left chest.

An ambulance took the patient to our emergency department. Computed tomography of the chest showed linear metallic density in the pulmonary trunk and a small amount of pericardial fluid. Emergency surgery for removal of the object and repair of the pulmonary artery was performed.

The ice pick had been stuck in the main pulmonary artery through the pericardium without any injury to the left lung or internal thoracic artery. Postoperative course was uneventful.

Highlights
• A chest stab wound can have various clinical presentations ranging from no intrathoracic injury to life-threatening, extensive damage to the great vessels.

• Early removal of the foreign body is recommended to prevent further damage to the heart.

• Emergency physicians should seriously consider psychiatric consultation to prevent repeated suicidal attempts.

Read in detail here: https://pxmd.co/zT0at
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