A Woman with Knife In situ of Chest


Department of Emergency, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran


The violence can be physical, psychological or sexual. Physical violence can be by the use of sharp objects. Chest stab wounds with retained penetrating objects are rare. Here, we have reported a case with a knife impaled in her upper back who was treated successfully without any complications. A 35‑year‑old woman presented to our emergency department with an in situ knife at T4–T5 level. Neurologic examination revealed normal and bed side sonography reveals no free fluid in the abdomen, but lung sliding was disrupted on the left hemithorax without evidence of tamponade. A portable chest‑x ray showed that the knife passes through an oblique track from right to left. The patient transferred to the operating room and the 50 cm knife removed without traumatic force. Limited thoracotomy with chest tube placement was done. We have reported a case report of an in situ knife at the upper back of a young woman who was successfully treated. The patient was stabbed in the upper back due to her husband’s violence and the knife passes through an oblique track from right to left without any vascular injury. We stabilized the patient and used bedside sonography as a modality for diagnosis and decision making.


1. Choo EK, Linden JA. Intimate partner violence and abuse. In: Swadron SP, Gruber PF, editors. Rosens Emergency Medicine. 9th ed. United State of America: Elsevier Companies; 2018. p. 758‑65. 
2. Novakov IP. Thoracic stab wound: A curious case report. Clin Surg 2018;3:2183. 
3. Agarwal P, Burke JF, Abdullah KG, Piazza M, Smith BP, Thawani JP, et al. Stab wound to the intramedullary spinal cord: Presurgical and surgical management options for a retained blade to optimize neurological preservation. Surg Neurol Int 2016;7:S1096‑8. 
4. Meer M, Siddiqi A, Morkel JA, Janse van Rensburg P, Zafar S. Knife inflicted penetrating injuries of the maxillofacial region: A descriptive, record‑based study. Injury 2010;41:77‑81.