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

Figure 3 Rib examination. A: The operation field during surgical stabilization of rib fractures. We routinely performed a thoracic cavity exploration before fixing the rib fractures. The white arrow indicates that the left ventricle was visible through the 4 cm × 4 cm pericardial rupture, which was an incidental finding; B: The postoperative electrocardiogram with the resolution of all ST depressions and lower ST elevations than that present in the preoperative period.