This case report highlights that in patients with acute chest stab wounds, urgent detection of injured organs is mandatory and can be performed by radiography, computed tomography, angiography, or echocardiography; although in a hemodynamically unstable patient, an early thoracotomy is preferable. Major thoracic stab wounds are spectacular and often lethal. Our case has stab wound in left chest with throughout laceration and lung contusion and perforated heart pericardium. This case report highlights that in patients with acute chest stab wounds, urgent detection of injured organs is mandatory and can be performed by radiography, computed tomography, angiography, or echocardiography; although in a hemodynamically unstable patient, an early thoracotomy is preferable.

Keywords: Lung injury; Hemopneumothorax; Thoracic injuries; Wounds; Stab