{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T02:22:11Z","timestamp":1755224531253,"version":"3.43.0"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T00:00:00Z","timestamp":1754438400000},"content-version":"vor","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>We report a rare case of penetrating abdominal trauma involving right ventricular injury. An 81-year-old man presented with a stab wound in the upper abdomen and hemodynamic instability. Hemorrhagic shock was initially suspected to be due to intra-abdominal organ damage. Emergency laparotomy revealed no evidence of intra-abdominal organ injury; however, subsequent thoracotomy and sternotomy identified cardiac tamponade from right ventricular injury caused by a penetrating object that traversed the diaphragm. Prompt surgical intervention enabled successful resuscitation. This case highlights the diagnostic challenge of \u201cjunctional zone\u201d trauma, where both thoracic and abdominal organs may be involved. Despite advanced age, the patient was discharged in good condition.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf586","type":"journal-article","created":{"date-parts":[[2025,8,12]],"date-time":"2025-08-12T18:06:22Z","timestamp":1755021982000},"source":"Crossref","is-referenced-by-count":0,"title":["An unexpected finding of cardiac injury penetrating the diaphragm in a suspected abdominal trauma case"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7451-5264","authenticated-orcid":false,"given":"Shingo","family":"Kunioka","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Nayoro City General Hospital , Nishi-7-Minami-8-1, Nayoro, Hokkaido 096-8511 ,","place":["Japan"]},{"name":"Department of Cardiac Surgery, Asahikawa Medical University , Midorigaoka Higashi 2-1-1-1, Asahikawa 078-8510 ,","place":["Japan"]},{"name":"Department of Emergency Medicine, Asahikawa Medical University , Midorigaoka Higashi 2-1-1-1, Asahikawa 078-8510 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fumiaki","family":"Kimura","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Nayoro City General Hospital , Nishi-7-Minami-8-1, Nayoro, Hokkaido 096-8511 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2953-3658","authenticated-orcid":false,"given":"Hideki","family":"Isa","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Nayoro City General Hospital , Nishi-7-Minami-8-1, Nayoro, Hokkaido 096-8511 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kentaro","family":"Shirakura","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Nayoro City General Hospital , Nishi-7-Minami-8-1, Nayoro, Hokkaido 096-8511 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Cardiac Surgery, Asahikawa Medical University , Midorigaoka Higashi 2-1-1-1, Asahikawa 078-8510 ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,8,6]]},"reference":[{"key":"2025081214061757600_ref1","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1016\/S1072-7515(97)00144-0","article-title":"Penetrating cardiac injuries: a prospective study of variables predicting outcomes","volume":"186","author":"Asensio","year":"1998","journal-title":"J Am Coll Surg"},{"key":"2025081214061757600_ref2","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1186\/s13049-021-00950-x","article-title":"The elderly age criterion for increased in-hospital mortality in trauma patients: a retrospective cohort study","volume":"29","author":"Lee","year":"2021","journal-title":"Scand J Trauma Resusc Emerg 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