A 29-year-old man with sudden onset of dyspnea and chest pain with impairment of the general status after falling down from five meters was transferred to our emergency department. He was completely asymptomatic before the injury, but hypotensive (80/50 mmHg) and tachycardic (112 beats/minute) after the injury. Chest radiograph revealed a bulging cardiac silhouette on the right paracardiac region with an increased cardiothoracic ratio of 70%.