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Emerg Med J doi:10.1136/emermed-2012-202061
  • Images in emergency medicine

Pendulum knife on a stabbed heart

  1. Gregorio Tugnoli1
  1. 1Trauma Surgery Unit (Head Dr. G. Tuhnoli), Department of Emergency and Department of Surgery, Maggiore Hospital Regional Trauma Center—Bologna Local Health District, Bologna, Italy
  2. 2Thoracic Surgery Unit (Head Dr. M. Boaron), Maggiore and Bellaria Hospital—Bologna Local Health District, Bologna, Italy
  1. Correspondence to Dr Salomone Di Saverio, Trauma Surgery Unit, Department of Emergency and Department of Surgery, Maggiore Hospital Regional Trauma Center, Emergency, L.go Nigrisoli, Bologna 40100, Italy; salo75{at}inwind.it
  • Received 10 October 2012
  • Revised 6 December 2012
  • Accepted 7 December 2012
  • Published Online First 7 January 2013

A 46-year-old woman was brought to the emergency department after having been found stabbed at home. A 25 cm long knife was stuck on the anterior left chest, over the cardiac area approximately between the sternum and the midclavicular line on the fifth intercostal space. Two further deep wounds were on the left chest 3–4 cm above the knife along the …


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