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There is a large metallic knife penetrating from the left flank craniocaudally and lateral to medial traversing the posterior abdominal wall quadratus lumborum, paraspinal muscles, deep fibres of the left psoas and below the left transverse process and lateral to the pedicle of the L2 lumbar vertebra. The tip appears situated within the vertebral body of L2 approximately 1cm before the anterior margin of the vertebral body. The anatomical course of the injury raises the possibility of nerve root damage.