DOI: https://doi.org/10.36347/sjmcr.2025.v13i10.110

Pages: 2644-2646

Impalement injuries are exceptionally rare and often fatal at the scene. We report the case of a 17-year-old construction worker who sustained simultaneous thoracic and abdominal impalement by two metal rods following a fall. Both rods transversed the thoracic and abdominal cavities from left to right. Emergency surgery consisting of a midline laparotomy and bilateral anterolateral thoracotomies allowed controlled removal of the rods under direct vision. The patient underwent duodenal and pulmonary repair, transverse colostomy, and appropriate drainage. He recovered uneventfully and was discharged on postoperative day twelve. This case highlights the importance of strict adherence to Advanced Trauma Life Support principles, avoidance of premature removal of impaled objects, and rapid multidisciplinary surgical intervention in a tertiary trauma centre.