Multiple ileal perforations as late complications of electrical injury: A rare case report

Handaya, Adeodatus Yuda and Seswandhana, Muhammad Rosadi and Vityadewi, Nurardhilah and Susilo, Naufal Caesario Jouhari and Subroto, Polycarpus David and Aditya, Azriel Farrel Krisna (2024) Multiple ileal perforations as late complications of electrical injury: A rare case report. Trauma Case Reports, 51: 101006. ISSN 23526440

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Abstract

Introduction: Electric injury-induced intestinal perforation is one of rare and lethal complications. Direct injury and ischemic changes are the mechanism of intestinal perforation. Proper surgical and non-surgical management may increase the survival chance. Case presentation: A 21-year-old male was referred from rural hospital with history of electric burn injury two days before. On arrival, the patient started complaining bloating and abdominal x-ray revealed small intestine dilation. On fourth day post-event, the symptoms worsened and abdominal CT-scan revealed free peritoneal air. Exploratory laparotomy was performed, and two ileal perforations were found. Suturing of perforation and ileostomy were performed. Forequarter amputation of the right superior limb was performed on the seventh day post-event. On the third month, the ileostomy was closed. Conclusion: Intestinal perforation may be one of late complications of electrical injury in abdomen. Proper clinical evaluation and management helps in morbidity and mortality reduction. © 2024 The Authors

Item Type: Article
Additional Information: Cited by: 1; All Open Access, Gold Open Access, Green Open Access
Uncontrolled Keywords: abdominal pain; abdominal radiography; adult; amputation; Article; bloating; burn; case report; clinical article; disease exacerbation; electric injury; fasciotomy; fever; human; ileostomy; intestine necrosis; intestine perforation; laparotomy; male; medical history; multidetector computed tomography; physical examination; rigidity; total body surface area; vital sign; wound care; young adult
Subjects: R Medicine > RD Surgical Divisions
Divisions: Faculty of Medicine, Public Health and Nursing > Surgical Divisions
Depositing User: Ngesti Gandini
Date Deposited: 14 Mar 2025 07:57
Last Modified: 14 Mar 2025 07:57
URI: https://ir.lib.ugm.ac.id/id/eprint/15770

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