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Published on: October 29, 2014
Colonic fistula complicating electric burns--a case report
1Department of Paediatric Surgery, M.S. Ramaiah Medical College, Bangalore, India.
Journal of Pediatric Surgery
|August 2, 2003
Summary
Electric burns can cause rare intestinal fistulas. This case study shows a child with an abdominal wall burn who developed a fecal fistula, successfully treated with conservative management and parenteral nutrition.
Area of Science:
- Surgery
- Gastroenterology
- Burn Management
Background:
- Intestinal fistula is a rare complication following severe burns.
- Electric burns, particularly high-voltage injuries, pose unique challenges in management.
- Abdominal wall burns require careful assessment for underlying visceral injury.
Observation:
- A case of an 11-year-old child with high-voltage electric burns involving the anterior abdominal wall is presented.
- Laparotomy revealed subserosal burns of the small bowel, which did not require intervention.
- A fecal fistula originating from the transverse colon developed on the 19th postburn day.
Findings:
- The fecal fistula was successfully managed conservatively.
- Total parenteral nutrition was administered for 23 days.
- Complete healing of the intestinal fistula was achieved.
Implications:
- This case highlights the possibility of intestinal fistula formation after electric burns.
- Conservative management combined with nutritional support can be effective for treating such fistulas.
- Early recognition and appropriate management are crucial for favorable outcomes in complex burn injuries.
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