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Bowel Necrosis and 3 Limb Amputation From High-Voltage Electrical Injury
Elie P Ramly1,2, Rebekah MacFie1,2, Niknam Eshraghi2
1Department of Surgery, Oregon Health and Science University, Portland.
Summary
This case report details the multidisciplinary care of a 44-year-old man with severe high-voltage electrical burns. Management included multiple amputations and small bowel resection due to extensive tissue damage.
Area of Science:
- Trauma Surgery
- Burn Management
- Electrical Injury
Background:
- High-voltage electrical injuries are rare but devastating, causing multisystem trauma.
- Prompt multidisciplinary critical and operative care is essential for survival.
Observation:
- A 44-year-old male sustained 40% TBSA third- and fourth-degree burns from high-voltage electrical injury.
- The patient required a forequarter amputation of the left upper extremity and bilateral lower extremity amputations.
- He also experienced visceral injury, necessitating a small bowel resection.
Findings:
- While limb amputations are common in electrical injuries, visceral injuries are less frequent.
- Successful management involved a comprehensive, multidisciplinary approach.
Implications:
- This case highlights the critical need for specialized, multidisciplinary care in managing severe electrical burn injuries.
- Early recognition and surgical intervention for both external and internal injuries are paramount.
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