A 14-year-old boy fell from a fence when he secretly tried to play in a pool at his elementary school. He fell onto stakes, which penetrated the mouth floor. His friends called an ambulance, and the boy was brought to our hospital's emergency room by the rescue team.
He was alert, but could not speak because of the stake. His general condition was good, and only one tooth was damaged. There was no damage to other structures, including the salivary ducts.
The patient was given general anesthesia, and the stake was removed.
The penetrating stab wound was very rare because there was no damage to other structures and because of the stake's direction. Because the thoracic wall was present, the stake could only take two directions to avoid damaging the brain. We believe that this is the first such case to be reported in Japan.
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