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Penetrating pediatric cardiac trauma caused by fall on a pencil with normal echocardiography

Department of Cardiothoracic and Vascular Surgery, Virga Jesse Hospital Hasselt, Stadsomvaart II, Hasselt 3500, Belgium

^* Corresponding author. Tel.: +32-11-30-90-60; fax: +32-11-30-90-68. (E-mail: janderaet{at}hotmail.com).

A toddler, age 2, presented with a penetrating cardiac trauma caused by a fall on a pencil. This case showed a normal echocardiography. However, during removal of the pencil, signs of cardiac tamponade were noticeable. Thus, a normal echocardiography is no guarantee to exclude a possible penetrating cardiac injury.