Penetrating Trauma to Abdomen with Transfixed Wooden Branch without Intra-Peritoneal Breach: A Close Call

Penetrating trauma to the abdomen secondary to impalement with a wooden branch is rare. Most injuries secondary to impalement are associated with intra-peritoneal breach. Owing to the rare nature of a penetrating trauma without an intra-peritoneal breach our case explores the possibility of considering it in the list of differentials thus shedding light on the possible management of similar injuries. Our case also highlights the significance of improvisation when a surgeon finds himself in unfamiliar territory. We present to you a case of such penetrating injury to the abdomen resulting from fall over a wooden branch that was successfully removed and found to have no intra peritoneal breach.