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Journal of The Korean Society of Emergency Medicine 2026;37(1): 63-66. |
| The silent penetrating cardiac injury: a case of a self-modified board marker in the right ventricle |
Jae Chol Yoon1,2
, Tae Yun Kim2,3
, Taeuk Ha4
, So Eun Kim1,2
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1Department of Emergency Medicine, Jeonbuk National University Hospital, Jeonbuk National University Medical School, Jeonju, Korea
2Research Institute of Clinical Medicine, Jeonbuk National University-Biomedical Research Institute, Jeonbuk National University Hospital, Jeonju, Korea
3Department of Thoracic and Cardiovascular Surgery, Jeonbuk National University Hospital, Jeonbuk National University Medical School, Jeonju, Korea
4Department of Emergency Medicine, Wonkwang University Hospital, Iksan, Korea |
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Received: December 31, 2024; Revised: January 7, 2025 Accepted: January 7, 2025. Published online: February 28, 2026.
*Jae Chol Yoon and Tae Yun Kim contributed equally to this work. |
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| ABSTRACT |
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Penetrating cardiac foreign body injuries are infrequent but potentially life-threatening occurrences. This paper presents a brief case report of a patient who presented to the emergency department (ED) with self-inflicted injuries. A 14-cm cylindrical hollow stick was embedded into his right ventricle. Remarkably, the patient remained hemodynamically stable and showed no significant symptoms. The clinical manifestations of penetrating cardiac foreign body injuries may vary from a stable hemodynamic condition to a rapid cardiovascular collapse. A penetrating cardiac foreign body is a rare traumatic injury encountered in the ED. Nevertheless, an awareness of this case is essential because it provides insights into the diversity of presentations of cardiac foreign body injuries. Although these injuries often manifest with severe symptoms such as cardiac tamponade, massive hemothorax, or even cardiac arrest, this case shows that patients may remain hemodynamically stable and asymptomatic, making a diagnosis challenging. |
| Key words:
Thoracic injuries; Foreign bodies; Cardiac tamponade; Case reports; Asymptomatic diseases |
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