Intra-cardiac nail

Case contributed by Dr Jeremy Jones

Presentation

Attempted suicide

Patient Data

Age: Adult
Gender: Male

Chest x-rays

X-ray

Chest x-rays demonstrate a long nail projecting over the cardiac silhouette in both projections. 

Case Discussion

This patient attempted to commit suicide with a nail-gun pointed at the chest. The nail penetrated the heart and can be seen on the lateral view blurred secondary to cardiac motion.

It was successfully removed at surgery.

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