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Penetrating chest trauma is an avoidable cause of death in traumatic patients. In initial management of these patients, evaluation of airway, respiratory status and circulation are prioritized. Patients with unstable conditions and life-threatening injuries require immediate intervention, but patients with stable vital signs should be investigated with further imaging. In the presence of a foreign body in the chest in a patient with stable conditions, removal should be performed in the operating room after complete imaging assessments including computed tomography (CT) scan without contrast agent, echocardiography and CT angiography. This article introduces a patient with penetrating chest trauma and stable vital signs with the presence of a foreign body and discuss about the importance of managing such patients.