Delayed Presentation of a Thoracic Impalement Injury Following a Fall from a Palm Tree: A Case Report

Abstract Impalement injuries are rare but potentially life-threatening forms of penetrating trauma, particularly when involving the thoracic cavity. Prompt and appropriate management is critical as delays can result in significant complications, including hemorrhage, infection, and respiratory function compromise. We report the case of a 34-year-old male who sustained a trans-thoracic impalement injury after falling from a palm tree. The impaling object was prematurely removed by bystanders at the scene. The patient presented 6 days post-injury with dyspnea and chest pain. Imaging confirmed a hemothorax with trapped lung. He underwent exploratory thoracotomy with decortication and recovered without major complications. This case highlights the dangers of inappropriate field management, the consequences of delayed presentation, and the importance of early surgical intervention in resource-limited settings.