Penetrating injury to the vena cava is a potentially life-threatening
condition that necessitates prompt recognition and immediate treatment
. Herein we describe a unique lawn mower-related injury in a 4-year-ol
d boy, resulting in the impalement of the inferior vena cava by a fore
ign body projectile. Relevant concepts in the management of children w
ith lawn mower injuries are discussed, with emphasis on penetrating in
jury to the inferior vena cava.