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Photograph from the injury scene revealing a protruding metal rod (arrow), now covered by a plastic water bottle after the incident for visibility.
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Onlookers reported that he tripped and fell forward onto a metal rod protruding from the ground at a constructions site (Fig. 1).
Plain chest radiograph demonstrating a large left-sided haemothorax (arrows).
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Chest X-ray revealed a left haemothorax (Fig. 2).
Operative view at thoracotomy during cardiorrphaphy. The suction tip is placed within a 4 cm full-thickness, jagged laceration at the right ventricle.
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The source of bleeding was identified as a 4 cm laceration to the pericardium and left ventricle (Fig. 3).