Challenges of Impalement Injuries


Department of Abdominal Surgery, Vladimir City Clinical Hospital of Emergency Medicine, Vladimir, Russia


Background: I read the paper on impalement injury by Kolahdouzan et al.
with interest, for what I would like to thank the authors.[1] I
would like to share an interesting case from our practice and
my viewpoint.
A 61‑year‑old male patient was brought in by paramedics and
a brigade of emergency situations with left‑sided thoracic
impalement injury. The patient, who was in a road maintenance
team, was impaled by a wooden block while driving his truck
in a construction site almost 2 h before admission [Figure 1].


1. Kolahdouzan M, Rezaee MT, Shahabi S. Impalement thoracoabdominal
trauma secondary to falling on metallic (Iron) bars: An extremely rare
and unique case. Arch Trauma Res 2016;5:e18330.
2. Horowitz MD, Dove DB, Eismont FJ, Green BA. Impalement injuries.
J Trauma 1985;25:914‑6.
3. Eachempati SR, Barie PS, Reed RL 2nd. Survival after transabdominal
impalement from a construction injury: A review of the management of
impalement injuries. J Trauma 1999;47:864‑6.
4. Kaur K, Singhal SK, Bhardwaj M, Kumar P. Penetrating
abdomino‑thoracic injury with an iron rod: An anaesthetic challenge.
Indian J Anaesth 2014;58:742‑5.
5. Angelopoulos S, Mantzoros I, Kyziridis D, Fontalis A, Parpoudi S,
Konstandaras D, et al. A rare case of a transabdominal impalement after
a fall from a ladder. Int J Surg Case Rep 2016;22:40‑3.
6. Lunca S, Morosanu C, Alexa O, Pertea M. Severe thoracic impalement
injury: Survival in a case with delayed surgical definitive care. Ulus
Travma Acil Cerrahi Derg 2015;21:152‑6.