Penetrating injuries to the thoracoabdominal region represent a comple
x and diverse population of injuries. The clinician managing such case
s must be able to consider all potential injuries, rapidly recognize l
ife-threatening sequelae, and precisely diagnose and quickly manage th
ese patients. The diverse nature of some of the potential presentation
s of patients with penetrating thoracoabdominal trauma is discussed. T
he most recent advances and controversies involving the evaluation and
management of patients with penetrating thoracoabdominal trauma are a
lso discussed.