An injury subjacent to lac ornament in a case of lightning.

This is a report of a case in which, for the first time, direct lightning strike had caused burn injuries associated with internal soft-tissue bruising and visceral injury subjacent to lac jewellery on the chest. The burn injury depicted a symmetrical pattern, which was almost 5 times larger than the size of the jewellery. Surprisingly, there was bruising of soft tissue beneath the burn, associated with extravasation of blood in anterior mediastinum, contusion of anterior border of lungs, contusion to heart and rent by burn to the blouse of the victim over the front and back, all in one line, showing very unusual injury of lightning strike. 2009 Elsevier Ireland Ltd. All rights reserved.