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Fig. 4B. —40-year-old man who fell on metal spike and was impaled. Axial CT images in lower (A) and mid (B) pelvic regions show entry site in right groin (curved arrow, A) with large amount of soft-tissue air in anterior abdominal wall. No free intraperitoneal air or fluid is seen. Surgical débridement of anterior abdominal wall wound tract confirmed lack of peritoneal violation.