Undetected traumatic cardiac herniation like playing hide-and-seek-delayed incidental findings during surgical stabilization of flail chest: A case report

Figure 1 Computed tomography scan. A: Initial chest contrast computed tomography (CT) showing traumatic hemothorax, with no evidence of heart injury; B: Initial abdominal contrast CT showing visceral herniation through an abdominal wall defect (orange arrow); C: The initial electrocardiogram (ECG) showed widespread abnormal findings, but did not meet the criteria for myocardial infarction (MI); D: ECG performed later when the patient showed fluctuating systolic blood pressure. The ECG showed prominent ST changes with depressions at the lead III, aVR, and V1, which are not the classical reciprocal ECG changes seen in MI.