Deep burns of the scalp and skull can be caused by high-voltage electrical injuries. Electrocution can occur while working and illegal handling of the lines. Compared to conventional burns, these injuries are characterized by an increased morbidity and mortality. We encountered an unusual case of high-voltage electrical burn of the head causing charring of scalp, bone and dura with herniation of infected brain matter.
Elevated transaminases and sonographic biliary dilation have poor predictive values for choledocholithiasis. Thus, patients with a positive intraoperative cholangiogram may benefit from additional studies, such as endoscopic ultrasound or magnetic resonance cholangiopancreatography prior to ERCP.
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