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Penetrating chest wounds remain a topical pathology on the rise, particularly with the spread of social violence and socio-economic difficulties. They continue to be a frequent reason for hospitalization. Patients, victims of this kind of trauma, require special attention because of an important anatomical-clinical discordance. Indeed, the intra-thoracic lesions generated can be very serious, putting at risk the vital prognosis and imposing a more adequate multidisciplinary management ensured by the close and synergic collaboration of an anaesthetist-resuscitator, a thoracic surgeon and a radiologist.