An unusual foreign body into the pericardium after a penetrating thoracic injury: a case report

Thoracic trauma remains a major contributor to global morbidity and mortality, particularly through penetrating injuries. This case report discusses a 16-year-old female patient who presented with a penetrating injury following a fall involving a heavy object, resulting in three sewing needles embedded in her chest. Two needles were removed in the emergency department, while a third needle was retained and found to be in contact with the pericardium. Imaging, including chest X-ray and CT scans, facilitated the diagnosis and localization of the foreign body. Surgical intervention was performed successfully under local anesthesia, resulting in the complete removal of the needle without complications. The patient recovered well and was discharged two days post- surgery. This case underscores the importance of prompt imaging and surgical management in cases of penetrating thoracic trauma.