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An unusual chest impalement

B T Ugwu1, S J Yiltok, N K Dakum

  • 1Department of Surgery, Jos University Teaching Hospital, Nigeria.

West African Journal of Medicine
|June 27, 1998
PubMed
Summary

A farmer survived a severe chest impalement by a metal arrow, sustaining lung laceration. This case highlights the critical need for timely medical intervention and prevention of lethal weapon use in West Africa.

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Area of Science:

  • Trauma surgery
  • Emergency medicine
  • Public health

Background:

  • Communal clashes over land can lead to severe injuries.
  • Impalement injuries require immediate medical attention.

Observation:

  • A 49-year-old male farmer presented with a 13.5 cm metal arrow impaled in his chest.
  • The injury occurred 56 hours prior to presentation during a farmland dispute.
  • The arrow caused a lung laceration but narrowly missed the pericardium.

Findings:

  • The patient survived a significant chest impalement with delayed hospitalization.
  • This represents a rare case of survival from such a severe injury in West Africa.
  • Prompt surgical evaluation and management were crucial for survival.

Implications:

  • Highlights the potential for severe trauma in resource-limited settings.
  • Emphasizes the importance of public education and legislation to prevent the use of lethal weapons.
  • Underscores the need for accessible emergency medical services for trauma victims.

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