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Images in emergency medicine
Pendulum knife on a stabbed heart
  1. Salomone Di Saverio1,
  2. Kenji Kawamukai2,
  3. Andrea Biscardi1,
  4. Maurizio Boaron2,
  5. 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}

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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 midclavicular line and on the …

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  • Collaborators Giovanni Gordini, Carlo Coniglio, Fausto Catena, Luca Ansaloni, Federico Coccolini, Noel Naidoo.

  • Patient consent Obtained.

  • Contributors SDS wrote the manuscript. MB (Cardiothoracic Surgeon) and SDS (Abdominal Surgeon) operated on the patient respectively on the chest and on the abdomen AB and KK were Assistant Surgeons SDS, AB and GT managed in the patient in ED. AB captured the images in O.R. and edited the video. All Authors reviewed and approved the final draft of the manuscript.