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Proper Management for Massive Penetrating Chest Trauma Narrowly Missing Major Organs: A Case Report
Jacek Szulc1, Konstantinos Kostopanagiotou2, Joanna Markopoulou2
1Student Scientific Club of Department of Thoracic Surgery and Transplantation, Pomeranian Medical University in Szczecin, Szczecin 70-204, Poland, pum.edu.pl.
Case Reports in Surgery
|August 8, 2026
Summary
A rare chest impalement case involving a scaffolding tube resulted in a good outcome due to the object's trajectory avoiding internal organ damage. Timely transport and expert multidisciplinary management are crucial for survival in such critical chest injuries.
Area of Science:
- Trauma Surgery
- Emergency Medicine
- Thoracic Surgery
Background:
- Chest impalement is a rare but serious injury.
- Outcomes depend heavily on the foreign body's trajectory and internal organ involvement.
Purpose of the Study:
- To present a unique case of chest impalement by a scaffolding tube.
- To highlight the importance of trajectory and multidisciplinary care in managing chest impalement.
Main Methods:
- Case report of a 48-year-old male with chest impalement.
- Diagnostic imaging using computed tomography (CT).
- Surgical intervention via left posterolateral thoracotomy for foreign body removal.
Main Results:
- A scaffolding tube penetrated the left posterior chest without significant internal organ damage.
- Successful removal of the foreign body.
- Uneventful postoperative recovery.
Conclusions:
- The trajectory of the impaling object is a critical determinant of outcome.
- Prompt transport to a trauma center and experienced multidisciplinary team management are vital for favorable outcomes in chest impalement cases.
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